On the question of predicting premature detachment normally positioned placenta

Abstract

Studying the issues of predicting abruption of a normally located placenta is extremely relevant in modern obstetrics. Purpose of the study: to clarify the clinical data of a pregnant woman predisposing to premature abruption of a normally located placenta. Materials and methods. The birth outcomes of 168 postpartum women were analyzed, who were divided into two groups. The 1st group consisted of 88 pregnant women who experienced premature abruption of the normally located placenta (PONRP). Group 2 included 80 women with a normal pregnancy outcome, but with predictors leading to the development of an obstetric complication such as PONRP. For statistical processing, the application package “Stat Soft Statistica Basic Academic for Windows 13” was used. Results. According to the study, preeclampsia, placental insufficiency, varicose veins, gestational diabetes mellitus and obesity occurred in 90,9 % and 32,5 %, 88,6 % and 41,25 %, 85,2 % and 42,5 %, 84,0 % and 36,25 %, 80,6 % and 40,0 % of pregnant women from groups 1 and 2, respectively. In group 1, antenatal fetal death occurred in 28 (31,8 %) patients, while in group 2 there were significantly fewer extremely unfavourable outcomes for the fetus: 9 (11,2 %) episodes (p < 0,05). Conclusions. The identified and above-mentioned clinical data found in pregnant women should be considered risk factors for the development of placental abruption.