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Table 4 Characteristics and outcomes of women with placental abruption as primary cause of MOH [20] (n = 45)

From: Major obstetric haemorrhage in Metro East, Cape Town, South Africa: a population-based cohort study using the maternal near-miss approach

 

N (%)

Maternal risk factors

 Primigravida

15 (33.3)

 Parity ≥4

2 (4.4)

 Alcohola

7 (2)

 Smokinga

11 (25)

 Anaemia

2 (4.4)

Risk factors from past obstetrics history

 Hypertensive disease

12 (26.7)

 Caesarean section

8 (17.8)

 Placental abruption

3 (6.7)

 Stillbirth

4 (8.9)

 Neonatal death

3 (6.7)

Pregnancy-associated risk factors

 Hypertension

 

  (Pregnancy induced) hypertension

7 (15.6)

  Pre-eclampsia

28 (62.2)

 Gestation

 

  20–24

5 (11.1)

  25–31

11 (24.4)

  32–37

19 (42.2)

  > 37

7 (15.6)

  Missing

3 (6.7)

Outcomes

 Stillbirths

42 (95)

 Stillbirths on admission

35 (77.8)

 Fresh stillbirths

7 (15.6)

 CSb for suspected abruption (baby alive before CS)

5 (11.1)

 CS with stillbirth

7 (15.6)

 Hysterectomy

1 (2.2)

 Uterine rupturec

1 (2.2)

 Massive transfusiond

5 (11.1)

  1. aduring current pregnancy
  2. bCS Caesarean section
  3. cfailed induction for stillbirth, presented with acute abdominal pain during laparotomy uterine rupture was diagnosed, hysterectomy was needed
  4. d≥ 8 RBC transfusion