Decreasing perinatal mortality in placental abruption

• DOI: 10.1111/aogs.12030
• Publication Date: 2012-10-17T09:03:38Z
• Authors: MINNA TIKKANEN; TIINA LUUKKAALA; MIKA GISSLER; ANNUKKA RITVANEN; OLAVI YLIKORKALA; JORMA PAAVONEN; MIKA NUUTILA; STURE ANDERSSON; MARJO METSÄRANTA
• Keywords: Placental abruption

Abstract Objective. To study perinatal mortality associated with placental abruption. Design. Retrospective population using the Finnish Hospital Discharge Register and Medical Birth data. Setting. Finland, 1987–2005. Population. Pregnancies abruption all other births without Methods. The national were used to identify pregnancies Demographic data delivery outcomes collected retrospectively. Perinatal was compared that in births. Potential risk factors analysed. Main outcome measures. Results. consisted of 618 735 women 1.14 million pregnancies, 4336 whom had Overall 119 per 1000 Placental explained 7% deaths. among singleton (125 1000) higher than multiple (40 1000). majority deaths (77%) occurred utero. Singleton decreased from 173 1987–1990 98 2000–2005 ( p < 0.001). In at <32 gestational weeks, overall high (345 not increased by Prematurity, low birthweight, male fetal sex maternal smoking independent for abruption‐related mortality. Conclusions. Although during period, still remains an important cause