This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in ISI Web of Science Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Hung, T.-H. Articles by Hsieh, T.-T. Search for Related Content PubMed PubMed Citation Articles by Hung, T.-H. Articles by Hsieh, C.-C. Articles by Hsu, J.-J. Articles by Lo, L.-M. Articles by Chiu, T.-H. Articles by Hsieh, T.-T. Social Bookmarking                   What's this?

Risk Factors for Placental Abruption in an Asian Population

Ching-Chang Hsieh, MD

Jenn-Jeih Hsu, MD

Liang-Ming Lo, MD

Tsung-Hong Chiu, MD

Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital,Taipei and College of Medicine, Chang Gung University,Tao-yuan, Taiwan

T'sang-T'ang Hsieh, MD

Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital,Taipei and College of Medicine, Chang Gung University,Tao-yuan, Taiwan; Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, 199 Dun-hua North Road, Taipei 105,Taiwan; tth3388{at}adm.cgmh.org.tw

The objective of this study was to identify risk factors for placental abruption in an Asian population. The authors conducted a retrospective review of 37 245 Taiwanese women who delivered between July 1990 and December 2003. Pregnancies complicated by placenta previa, multiple gestation, and fetal anomalies were excluded. Multivariable logistic regression was used to adjust for potentially confounding variables and to identify independent risk factors for placental abruption. Three hundred thirty-two women had placental abruption (9 per 1000 singleton deliveries). Women who smoked during pregnancy (adjusted odds ratio [OR] = 8.4; 95% confidence interval [CI] = 3.0-23.9), had gestational hypertensive diseases (adjusted OR = 4.9; 95% CI = 3.3-7.3), pregnancies complicated by oligohydramnios (adjusted OR = 4.2; 95% CI = 2.7-6.7), polyhydramnios (adjusted OR = 3.3; 95% CI = 1.4-7.7), preterm premature rupture of membranes (adjusted OR = 1.9; 95% CI = 1.1-3.1), entanglement of umbilical cord (adjusted OR = 1.6; 95% CI = 1.2-2.1), were of or more than 35 years of age (adjusted OR = 1.5; 95% CI = 1.1-2.0), and had a low prepregnancy body mass index (adjusted OR = 1.3; 95% CI = 1.0-1.6) were at increased risk for placental abruption. Some risk factors for placental abruption among Taiwanese women are the same as those of other ethnic groups, whereas some of the risk factors are different.

Key Words: Placental abruption • risk factors • oligohydramnios • polyhydramnios

Reproductive Sciences, Vol. 14, No. 1, 59-65 (2007)
DOI: 10.1177/1933719106298363


CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    What's this?

This article has been cited by other articles:

				H.M. Salihu, O. Lynch, A.P. Alio, J.L. Kornosky, H.B. Clayton, and A.K. Mbah Extreme obesity and risk of placental abruption Hum. Reprod., February 1, 2009; 24(2): 438 - 444. [Abstract] [Full Text] [PDF]