Is there an association between a history of placental abruption and long-term maternal renal complications?

E. S. Arazi, R. Kessous, I. Shoham-Vardi, G. Pariente, R. Sergienko, Eyal Sheiner

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Objective: To investigate whether patients with a history of placental abruption have an increased risk for subsequent maternal long-term morbidity. Study design: A population-based study compared the incidence of long-term renal morbidity in cohort of women with and without a history of placental abruption. Deliveries occurred during a 25-year period, with a mean follow-up duration of 11.2 years. Renal morbidity included kidney transplantation, chronic renal failure, hypertensive renal disease, etc. Results: During the study period 99 354 deliveries met the inclusion criteria; 1.8% (n = 1807) occurred in patients with a diagnosis of placental abruption. Patients with placental abruption did not have higher cumulative incidence of renal related hospitalizations, using Kaplan-Meier survival curve. During the follow-up period patients with a history of placental abruption did not have higher rate of renal morbidity (0.2% versus 0.1%; OR 1.8; 95% CI 0.6-4.8; p = 0.261). When performing a Cox proportional hazards model, adjusted for confounders such as parity and diabetes mellitus, a history of placental abruption was not associated with renal related hospitalizations (adjusted HR, 1.6; 95% CI, 0.6-4.2; p = 0.381). Conclusion: Placental abruption, even though considered a part of the "placental syndrome" with possible vascular etiology, is not a risk factor for long-term maternal renal complications.

Original languageEnglish
Pages (from-to)1641-1646
Number of pages6
JournalJournal of Maternal-Fetal and Neonatal Medicine
Volume28
Issue number14
DOIs
StatePublished - 22 Sep 2015

Keywords

  • Obstetric complication
  • placental abruption
  • renal morbidity

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

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