Placental abruption complicates about 1% of pregnancies and is a leading cause of vaginal bleeding in the latter half of pregnancy. Abruptio placentae is defined as the premature separation of the placenta from the uterus.
Placental abruption is defined as bleeding at the decidual-placental border leading to placental separation prior to delivery of the fetus. The most common signs and symptoms are vaginal bleeding and abdominal or back pain. Bleeding is often concealed, therefore vigilance is essential. APH complicates 3–5% of pregnancies and is a leading cause of perinatal and maternal mortality worldwide.1 Up to one-fifth of very preterm babies are born in association with APH, and the known association of APH with cerebral palsy can be explained by preterm delivery. and placental abruption, although these are not the most common. When it occurs at or near term and maternal and fetal condition is reassuring, conservative management is reasonable. Utero-tonic agents such as oxytocin, methylergometrine, and prostaglandin analogues may be given. Placental abruption is a significant cause of maternal and perinatal mortality. Abruption is usually an unanticipated emergency. The perinatal mortality rate for placental abruption has found to be as high as 48%. Placental abruption—In placental abruption, the placenta detaches from the wall of the uterus before or during birth. Search Results; Search results. Placental abruption can cause serious complications if it is not found early.
The management of placental abruption will depend on gestation, the signs and symptoms, the mother’s cardiovascular status and any evidence of fetal compromise. It is also an important cause of perinatal mortality and morbidity. In cases of placental abruption, the uterus may not contract adequately, and therefore haemorrhage may be difficult to control. The maternal effect of abruption depends primarily on its severity, whereas its effect on the fetus is determined both by its severity and the gestational age at which it occurs. In this retrospective study, we aim to evaluate the correlation between various causes and risk factors of placental abruption and neonatal mortality.
Your search results are displayed below. The lower limit of gestational age to define placental abruption has changed over a period of years from 28 weeks down to as low as 20 weeks of gestation.
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