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ORIGINAL RESEARCH article

Front. Public Health
Sec. Children and Health
Volume 12 - 2024 | doi: 10.3389/fpubh.2024.1453117
This article is part of the Research Topic Placental Dysfunction in Pregnancy: Endocrine and Metabolic Mechanisms in Preeclampsia, FGR, Diabetes, and Hypertension View all articles

Perinatal Outcomes and Predictors of Placental Abruption: A Retrospective Study in an Ethiopian Tertiary Care CenterAdverse Perinatal Outcome of Placental Abruption and its Predictors among Pregnant Women Admitted in a Tertiary Care Centre, Ethiopia

Provisionally accepted
Mesfin Tadese Mesfin Tadese 1*Gebresenbet Getachew Gebresenbet Getachew 2Tirusew Nigussie Kebede Tirusew Nigussie Kebede 1Toyba Ebrahim Yesuf Toyba Ebrahim Yesuf 1Saba Desta Tessema Saba Desta Tessema 1Wogene Asefa Damesa Wogene Asefa Damesa 3Gebeyehu Shumet Solomon Gebeyehu Shumet Solomon 4
  • 1 Department of Midwifery, School of Nursing and Midwifery, Asrat Woldeyes Health Science Campus, Debre Berhan University,, Debre Berhan, Amhara, Ethiopia
  • 2 College of Medicine and Health Sciences, University of Gondar, Gondar, Amhara Region, Ethiopia
  • 3 Abebech Gobena Mothers and Childrens Health Hospital, Addis Ababa, Addis Ababa, Ethiopia
  • 4 St. Peter’s Specialized Hospital, Addis Ababa, Addis Ababa, Ethiopia

The final, formatted version of the article will be published soon.

    Background: Placental abruption is a critical obstetric condition characterized by the premature separation of the placenta from the uterus, leading to severe maternal and fetal complications. In Ethiopia, the maternal and perinatal morbidity and mortality rates are alarmingly high, and placental abruption significantly contributes to these adverse outcomes. Despite its severity, there is a lack of comprehensive data on the burden, risk factors, and outcomes associated with placental abruption in the Ethiopian context. Thus, the study aimed to investigate the adverse perinatal outcomes of placental abruption and the factors associated with these outcomes among pregnant women admitted to the University of Gondar Comprehensive Specialized Hospital in Ethiopia.Method: An institution-based retrospective cross-sectional study was conducted among 367 pregnant women who were admitted and managed for placental abruption from January 1, 2021, to January 1, 2023, at the University of Gondar Comprehensive Specialized Hospital. A simple random sample method was employed to choose the medical records. Data was collected using a checklist prepared with the KOBO collect tool and then exported to SPSS version 25.0. Variables having a p-value of less than 0.05 were deemed significant in the multivariable logistic regression analysis that was done. The adjusted odds ratio with a 95% confidence interval was reported.The prevalence of adverse perinatal outcome of placental abruption was 39.2%, 95% CI: 34.3-44.1. The most common adverse outcomes were Pprematurity (25.6%), low birth weight (25.6%), and NICU admission (13.9%) were the commonest adverse perinatal outcomes among women with placental abruption. Severe placental abruption (AOR (CI) = 8. 82 (4.48-17.31)) and abruption at preterm gestation (AOR (CI) = 18.71 (9.59-36.42)) were significant predictors of adverse perinatal outcomes.The adverse perinatal outcomes of pregnancies complicated by placental abruption in this study were higher compared to other studies in Ethiopia. The degree of placental abruption and gestational age at diagnosis were significant associates of adverse perinatal outcomes. The study highlights the critical need for patient-centered counseling on antenatal bleeding to

    Keywords: Placental abruption, Adverse perinatal outcome, factors, Ethiopia., Antepartum hemorrhage

    Received: 22 Jun 2024; Accepted: 18 Dec 2024.

    Copyright: © 2024 Tadese, Getachew, Kebede, Yesuf, Tessema, Damesa and Solomon. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Mesfin Tadese, Department of Midwifery, School of Nursing and Midwifery, Asrat Woldeyes Health Science Campus, Debre Berhan University,, Debre Berhan, Amhara, Ethiopia

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