%0 Journal Article %T Management and Maternal-Fetal Prognosis of Placental Abruption: A Retrospective Study of 130 Cases %A Papa Malick Ngom %A Faye Marie Edouard %A Gaye Yaye Fatou %A Sylla Mafing Aya %A Tine Marguerite Ndew %A Inzale Mohamed Amine %A Bentaleb Hajar %A Fall Khadidja %A Kon¨¦ Madjigu¨¨ne %A Fall Mouhamadou Mansour %J Open Journal of Obstetrics and Gynecology %P 590-598 %@ 2160-8806 %D 2022 %I Scientific Research Publishing %R 10.4236/ojog.2022.127051 %X Objective: To describe the epidemiological, clinical and prognostic factors and assess treatment of placental abruption in the obstetrics gynecology department of the Dakar Principal Hospital. Patients and Method: We carried out a retrospective observational study of 130 successive cases of placental abruption, which occurred from January 2015 to December 2017 at the Level 3 Maternity Unit of the Dakar Principal Hospital. Data were collected from non-computerized obstetric records and analyzed using Excel and Epi info software. Results: There were 130 cases of placental abruption, that is a prevalence of 1.5%. The average age of onset of placental abruption was 30 years. The history of hypertension concerned 32.3% of patients, the average gestational age of 32.5 weeks at the time of diagnosis, grade 3 of Sher was found in 48.5% of cases. The outcome of the pregnancy was a caesarean section in 79.2% of cases, the average weight of newborns was 2058 g. The management of the complications required a blood transfusion and intensive care. A haemostasis hysterectomy was performed in 6.2% of cases. Stillbirth rate was 53.7% and maternal mortality was zero. Discussion and Conclusion: Placental abruption, a severe complication of pregnancy, is associated with high perinatal morbidity and mortality linked to the severity of the clinical picture, despite an improved maternal prognosis. %K Placental Abruption %K Perinatal Mortality %K Maternal Morbidity %U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=118464