The profile and complications of women with placental abruption and intrauterine death

The aim of this study was to evaluate the profile and outcome of patients with placental abruption and intrauterine death. It was a retrospective study over 2 years from 1 January 1999 to 31 December 2000. All women (n=96) presenting with placental abruption and intrauterine death at a tertiary referral center were identified from the records of weekly perinatal mortality meetings. Data were reviewed by a single researcher. Hypertensive disorders were diagnosed in 75 per cent (n=72) women, most often at admission once intrauterine death had already occurred. Thirty-nine per cent had a previous history of hypertensive disease during pregnancy, placental abruption, intrauterine death, or preterm delivery. Twenty-two per cent of patients (n=21) were unbooked. Major maternal complications occurred in 53 per cent of women. There were no maternal deaths. In conclusion, previous obstetric history and hypertensive disorders are important factors in women with placental abruption causing intrauterine death. Severe complications are common but careful management in a tertiary center can reduce their impact.