ORIGINAL RESEARCH

Obstetrics and Gynecology

doi: 10.25005/2074-0581-2024-26-4-556-566
PREMATURE PLACENTAL ABRUPTION: EPIDEMIOLOGY, RISK FACTORS, AND MEDICAL AND SOCIOECONOMIC ASPECTS

M.F. DODKHOEVA, Z.D. SALIMOVA

Department of Obstetrics and Gynecology № 1, Avicenna Tajik State Medical University, Dushanbe, Republic of Tajikistan

Objective: To study epidemiology, risk factors, and medical and socioeconomic aspects of premature placental abruption (PPA) of a normally located placenta in the settings of a level III maternity care hospital.

Methods: An analysis was conducted on 183 antenatal and delivery records of the women admitted to Maternity Hospital № 1 in Dushanbe, Republic of Tajikistan (RT), between 2019 and 2023. Among the women diagnosed with PPA, there were 19 cases of complete PPA and 164 cases of partial PPA.

Results: The study has highlighted a growing trend in the incidence of PPA among pregnant women. However, there has been a notable decrease in severe cases due to improved prenatal care and the implementation of new National Standards on Managing Complications in Pregnancy and Childbirth and on Bleeding, Eclampsia, 2010-2014 and evidence-based strategies as a result of United Nations Population Fund (UNFPA) interventions. Nevertheless, the study revealed a high prevalence of previous complicated pregnancies, as well as past and current comorbidities such as anemia, kidney disease, hyperemesis gravidarum, and hypertensive disorders.

Conclusion: To minimize the occurrence of PPA and its effects, it is crucial to actively prevent, promptly diagnose, and effectively treat PPA risk factors.

Keywords: Pregnancy, premature detachment of a normally located placenta, bleeding, risk factors, preeclampsia.

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Authors' information:


Dodkhoeva Munavvara Fayzulloevna,
Academician of NAST, Doctor of Medi cal Sciences, Full Professor, Professor of the Department of Obstetrics and Gy necology № 1, Avicenna Tajik State Medical University
Researcher ID: AAC-4784-2019
ORCID ID: 0000-0001-9373-4318
SPIN: 9749-6174
Author ID: 313026
E-mail: dodkho2008@mail.ru

Salimova Zumrat Dzhamshedovna,
Postgraduate Student of the Department of Obstetrics and Gynecology № 1, Avicenna Tajik State Medical University
ORCID ID: 0000-0001-8276-8678
E-mail: zumrat.9595@mail.ru

Information about support in the form of grants, equipment, medications

The authors did not receive financial support from manufacturers of medicines and medical equipment

Conflicts of interest: No conflict

Address for correspondence:


Dodkhoeva Munavvara Fayzulloevna
Academician of NAST, Doctor of Medical Sciences, Full Professor, Professor of the Department of Obstetrics and Gynecology № 1, Avicenna Tajik State Med ical University

734003, Republic of Tajikistan, Dushanbe, Sino str., 29-31

Tel.: +992 (918) 612606

E-mail: dodkho2008@mail.ru


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