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Gestational hypertensive disorders and abruptio placentae with or without hypertension were major contributing factors to perinatal mortality in both samples.
To study the causes and maternal and foetal outcome in abruptio placentae, and also to assess the importance of early diagnosis and treatment.
Battledore insertion of cord was also found to have increased association with placenta previa, abruptio placentae, preeclampsia, preterm delivery, cord prolapse, foetal distress, increased incidence of emergency LSCS, low Apgar score, NICU admission, low birth weight and congenital malformations (8, 9).
The consequences of these disorders occur as maternal deaths which is rare, abruptio placentae in (1-4%), IUGR (10-25%), perinatal deaths (1-2%)6.
Adaptar y actualizar las GPC "Prevention and management of postpartum haemorrhage" (rcog 2009) y "WHO guidelines for the management of postpartum haemorrhage and retained placenta 2009" (WHO 2009) para la seccion sobre las complicaciones hemorragicas asociadas con el embarazo (hemorragia posparto y complicaciones del choque hemorragico por placenta previa, abruptio placentae y hemorragia posparto) (11, 12).
Tabla 2 Complicaciones obstetricas Resumen n (%) Intraparto 135 (61%) Trabajo de parto pretermino 66 (30%) Ruptura prematura de membranas (RPM) 28 (13%) Hipertension en el embarazo 32 (14%) Oligoamnios 16 (7%) Obito fetal 9 (4%) Polihidramnios 9 (4%) Distocia 9 (4%) Stress fetal 6 (3%) Placenta previa 5 (2%) Amnionitis 2 (1%) Abruptio placentae 5 (2%) Manipulada 2 (1%) Diabetes 1 (0%) Total de complicaciones 164 (74%) Otras 75 (34%) Hipotonia uterina 6 (3%) Amenaza de aborto 2 (1%) Fistula amniotica 10 (5%) Amenaza de parto pretermino 54 (24%) Anemia aguda 3 (1%) DS: desviacion estandar Fuente: departamento de estadistica, hospital G-0 "Enrique C.
Bed rest in the hospital traditionally has been recommended in order to prevent disease progression and to facilitate rapid intervention in the case of abruptio placentae or other possible complications.
In conclusion, this study showed that mother's STD, abruptio placentae, birth weight < 1500 g and exposure to parenteral nutrition, percutaneous catheter, central venous catheter and mechanical ventilation are independent risk factors for NICU-acquired infections.
Differential Dx of Appendicitis Nonobstetric Conditions Urinary calculi Cholelithiasis Cholecystitis Bowel obstruction Gastroenteritis Mesenteric adenitis Colonic carcinoma Rectus hematoma Acute intermittent porphyria Perforated duodenal ulcer Pneumonia Meckel's diverticulum Obstetric Conditions Preterm labor Abruptio placentae Chorioamnionitis Adnexal torsion Ectopic pregnancy Pelvic inflammatory disease Round ligament pain Uteroovarian vein rupture Carneous degeneration of myomas Uterine rupture (placenta percreta; rudimentary horn) Source: Dr.
Las indicaciones iniciales para cirugia fueron abruptio placentae, atonia uterina, placenta previa y sindrome Hellp.