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Published on: September 9, 2012
Disseminated intravascular coagulation
Humaira Naz1, Anisa Fawad, Ansa Islam
1Department of Obstetrics and Gynaecology, Ayub Medical College, Abbottabad, Pakistan. drmaira@hotmail.com
Insights
Disseminated Intravascular Coagulation (DIC) affects 0.92% of obstetrical admissions. Promptly addressing underlying causes is crucial for managing this life-threatening thrombohaemorrhagic disorder.
Area of Science:
- Obstetrics and Gynecology
- Hematology
- Critical Care Medicine
Background:
- Disseminated Intravascular Coagulation (DIC) is a severe thrombohaemorrhagic disorder.
- It is characterized by widespread endothelial damage.
- The study aimed to determine DIC prevalence in obstetrical conditions.
Purpose of the Study:
- To assess the prevalence of Disseminated Intravascular Coagulation (DIC) in various obstetric scenarios.
- To identify associated risk factors and evaluate maternal and fetal outcomes in these cases.
Main Methods:
- A descriptive study was conducted over two years (2010-2011).
- Included 40 diagnosed cases of DIC among 4,334 obstetrical admissions.
- Evaluated risk factors and maternal/fetal outcomes.
Main Results:
- DIC prevalence was 0.92% (40/4334 admissions).
- Eclampsia (70%) and abruptio placentae (17.5%) were primary risk factors.
- Maternal mortality was 25% and perinatal mortality was 47.5%.
Conclusions:
- DIC is a critical, life-threatening condition linked to underlying pathologies.
- Resolution of DIC is often spontaneous following correction of the primary cause.
Background:
Disseminated Intravascular Coagulation (DIC) is a complex systemic thrombohaemorrhagic disorder characterised by widespread endothelial damage. Aim of this study was to assess the prevalence of DIC in different obstetrical conditions.
Methods:
This descriptive study was carried out in the Department of Obstetrics and Gynaecology Unit 'A', Ayub Medical College, Abbottabad from January 2010 to December 2011. All 40 diagnosed cases of DIC were included, and their risk factors and maternal/foetal outcome were evaluated.
Results:
Out of 4,334 obstetrical admissions, DIC was diagnosed in 40 (0.92%) patients. Risk factors noted were eclampsia 28 (70%), abruptio placentae 7 (17.5%), septicaemia 3 (7.5%), pancytopenia 1 (2.5%), and 1 (2.5%) patient had DIC secondary to haemorrhagic shock due to placenta previa. Mean age range of patients was 31 +/- 6.69 (19-48) year, and parity was 3.17 +/- 2.56 (0-10). Mode of delivery of 34 (85%) patients was by caesarean section, and vaginal delivery occurred in 3 (7.5%) patients. Eleven (27.5%) patients had caesarean hysterectomy. Maternal mortality was 25% and perinatal mortality was (47.5%). Majority of our patients were critical and were managed in ICU.
Conclusion:
DIC is serious life threatening condition secondary to any underlying pathology. There is spontaneous resolution of DIC after correction of pathology.
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