Correlation of adverse perinatal outcomes and placental infarcts in hypertensive primigravida mothers
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Abstract
Objective: To determine the frequency of placental infarcts and its effect on fetal outcome in hypertensiveprimigravida mothers.
Methodology: This study was conducted at Obstetrics & Gynecology Department, Lady Reading HospitalPeshawar from 1st January 2011 to 30th September 2011. The sample size was 130 primigravida mothers.This study was cross sectional in which non probability consecutive sampling technique was adopted. Thedata was collected on predesigned proforma and was analyzed using SPSS version 17.
Results: This study included 130 primigravida mothers in age range from 19-35 years with mean age of27.27+4.04 years. Placental infarcts were seen in 31% (n=40) patients. Sixty percent (n=24) patients hadfocal placental infarcts while 40% (n=16) had multifocal placental infarcts. Among fetuses whose placentashowed no infarction, 90% fetuses were live born and 10% were still-born while those fetuses whoseplacenta showed infarction 70% fetuses were alive and 30% fetuses were still-born.
Conclusion: The incidence of adverse perinatal outcomes including intrauterine growth restriction andstill birth is higher in hypertensive primigravida mothers with placental infarcts than in hypertensive primigravidamothers with no infarcts.
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