Background: Placental abruption commonly occurrs in the last months of pregnancy. The current, diagnosis and treatment method of placental abruption is considerably more improved thanks to medical advances. This is still a dangerous emergency in obstetrics, however, causing severe complications for maternal and high neonatal mortality. Objective: Describe some clinical and para-clinical characteristics of placental abruption at the National Hospital of Obstetrics and Gynecology from 01/01/2005 to 12/09/2006. Subject and methods: A retrospective cross sectional study is conducted on 30 patients with confirmed diagnosis of placental abruption after Cesarean section or delivery from 01/01/2005 to 12/09/2006. Results: Gestational age <34 weeks: 40%; 34-37 weeks: 40%; >37 weeks: 20%. Clinical signs: abdominal pain: 83.3%, vaginal bleeding: 60%, pre-eclampsia: 23.3%, shock: 3.3%, frequency of contractions: 74.1%, uterine hypertonus: 33.3%, uterine tetany: 36.7%, bloody amniotic fluid: 36.7%, fetal demise: 40%, fetal distress: 26.7%. Para-clinical signs: red blood cells <3 millions: 26.7%, heamoglobin <90g/l: 20.7%, fibrinogen <2g/l: 23.3%, retroplacental haematoma in ultrasound: 47.8%. Apoplexy lesions in the uterus: serious and extensive: 46.6%, mild: 26.7%, no lesion: 26.7%. Conclusions: Placental abruption often occurred in premature delivery, clinical signs have high diagnostic values, para-clinical signs have limited diagnostic values and in most of the cases have shown apoplexia lesions in the uterus.
placental abruption ; clinical signs ; para-clinical signs

Study on 105 women abortioning under 3 months at Family planing department of National Obstetric hospital from 19/12/2003 to 16/1/2004. The result showed that: There were low rate client < 20 ages (1%) and > 45 ages (1,9%), 48,6% university level. The previous abortions and the number of children increased vs. abortion rates decreased. Pregnancy under 8 weeks is 74,3% and more than 8 weeks is 25,7%. The most of clients were checked by hCG test and ultrasound before abortion, low rate (1%) weren’t. Evaluation of using the family planning and abortion methods: The rate of no using the family planning methods on the last of 3 months before abortion were higher than that on previous time; The natural family planning methods were still high rates; The rate of using family planning methods post aborting 90,5% was higher than previous time 78,1%, on the last of 3 months before abortion 74,3%; Particularly, the using of the natural family planning methods were down, the using of the interventional family planning methods were up.
Abortion, Induced ; Family Planning Services ; Epidemiology