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Fetal salvage in abruptio placentae

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      Abstract

      • 1.
        1. Premature separation of the normally implanted placenta occurred 254 times in 26,358 deliveries, an incidence of 1:104, with one maternal death.
      • 2.
        2. The uncorrected perinatal mortality rate was 29.84 per cent and there were 2 infants with major congenital abnormalities incompatible with life.
      • 3.
        3. The degree of severity of placental separation was classified according to the criteria of Page, as modified, with 81 cases of Grade 0 severity, 96 cases of Grade 1, 57 cases of Grade 2, and 20 of Grade 3.
      • 4.
        4. There were 42 cases of toxemia of pregnancy, an incidence of 16.5 per cent, with an increased frequency of toxemia in the severe grades.
      • 5.
        5. Some type of active intervention was carried out 153 times with a fetal salvage of 83.5 per cent when fetal heart tones were present on admission to the hospital, while passive management when the fetus was alive resulted in a fetal survival of only 72.8 per cent.
      • 6.
        6. Forty-six cesarean sections were done for fetal or combined fetal and maternal indications with an 82.6 per cent fetal survival.
      • 7.
        7. There were 3 instances of uteroplacental apoplexy and one of coagulation defect.
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