Which patients are at highest risk for placental abruption




















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Find out more. Continue Change cookies settings. Back to Home. Chantarat Suratanakavikul, M. Fertility and Pregnancy abnormal pregnancy high risk pregnancy Pregnancy Tests during pregnancy. Women who had an abruption in previous pregnancies are at greater risk.

The role of previous placental abruption, which implies genetic base for placental abruption development and Zdoukopoulos showed that multi factorial etiology of abruption and the relatively small numbers of studies and participants, this review provides only the first clues of possible genetic causes. There are some indications from other studies that previous placental abruption could be a risk factor for its development in current pregnancy. Our Study confirmed that the frequency of previous placental abruption was significantly higher in placental abruption group than in the control group.

Similarly to some previous studies where an association between PROM and placental abruption was observed. However, comparing the risks in p-PROM and the total gestational age range, the present study confirmed results reported in previous studies of a higher risk of placental abruption in PROM than in the total birth population. Our study showed statistically in significant predominance of PROM, is in agreement with those. The mechanism how previous abortions pre-dispose to placental abruption development could be explained with possible endometrial damage during repeated abortions, which impedes successful fund a implantations of placenta.

Signal showed that APH is a grave obstetrical emergency that Leads to low birth weight, intrauterine death, and birth h asphyxia. Placental abruption with these clinical characteristics should be closely monitored and prompt delivery should be carried out at tertiary care centers with adequate maternal-neonatal intensive care facilities.

Despite heightened awareness, placental abruption still remains unpredictable and unpreventable. A clinically useful predictive test is needed to detect individuals at risk. Placental abruption, a medical and obstetrical emergency, is a serious obstetric condition, especially in our country.

Physicians must be aware that patients within case of multiparty, cesarean section, previous abortion, and placental abruption are at increased risk of placental abruption. Early diagnosis, prenatal follow-up, and cesarean section improve the maternal and fetal prognosis. The findings emphasize that better care could be reduce serious complication of the diseases possible. This article is a part of research project No: , which was approved and supported by Zanjan University of Medical Sciences.

Source of Support: Nil. Conflict of Interest: None declared. National Center for Biotechnology Information , U. J Res Med Sci. Author information Article notes Copyright and License information Disclaimer.

Address for correspondence: Mrs. E-mail: moc. This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3. This article has been cited by other articles in PMC. Abstract Background: Placental abruption is one of the most common causes of bleeding during pregnancy.

Materials and Methods: In a retrospective case — control study birth records included 78 cases with placental abruption and randomly selected controls were investigated. Conclusion: The results indicate that among the placental abruption is one of the most common causes of bleeding during the pregnancy and one of the major obstetrical emergency.

Keywords: Iran, placental abruption, pregnancy, risk factors. If you've had a placental abruption, and you're planning another pregnancy, talk to your health care provider before you conceive to see if there are ways to reduce the risk of another abruption. Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission.

This content does not have an English version. This content does not have an Arabic version. Overview Placental abruption Open pop-up dialog box Close. Placental abruption The placenta is an organ that develops in the uterus during pregnancy. Request an Appointment at Mayo Clinic. Share on: Facebook Twitter. Show references Ananth CV, et al. Placental abruption: Pathophysiology, clinical features, diagnosis and consequences.

Accessed Nov. Skip to main content. Healthy pregnancy. Home Healthy pregnancy. Placental abruption. Actions for this page Listen Print. Summary Read the full fact sheet. On this page. Symptoms Some of the symptoms and signs of moderate to severe placental abruption include: Bleeding, most commonly noticed when the woman starts bleeding from the vagina Continuous abdominal pain Continuous lower back pain Painful abdomen belly when touched Tender and hard uterus Very frequent uterine contractions Fetal distress — for example, abnormal heart rhythm.

Examples of events that may cause this type of injury could include a car accident, assault or fall. Uterine decompression — this is a sudden loss of amniotic fluid from the uterus, which can suck the placenta from the uterus wall. Possible causes of uterine decompression include the birth of the first twin or multiple or rupture of amniotic membranes when there is excessive amniotic fluid. Risk factors While the exact cause in most cases is unknown, certain factors make a pregnancy more susceptible to placental abruption.

Risk factors may include: Advanced maternal age — older mothers are at increased risk of a range of pregnancy complications, including placental abruption. Prior pregnancy — the risk increases the more pregnancies a woman has had. Multiple fetuses — carrying twins, triplets, quads or more increases the risk of placental abruption compared to carrying a single fetus. Prior placental abruption — if a woman has had the condition before, she is at high risk of having it again.

Hypertension — high blood pressure increases the risk of abnormal bleeding between the placenta and the wall of the uterus. One of the most common causes of hypertension during pregnancy is a condition known as pre-eclampsia.

Excessive amniotic fluid polyhydramnious — more fluid than normal increases the risk of bleeding between the placenta and the uterus wall.

Substance use — cigarette smoking, alcohol use and taking drugs such as methamphetamine or cocaine during pregnancy increase the risk of placenta abruption as well as a range of other serious health problems for both mother and unborn baby.

Very rarely, the needle puncture causes bleeding.



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