Clinical management and outcome of pregnancies complicated by previous abruption

Hypertens Pregnancy. 2011;30(4):457-64. doi: 10.3109/10641955.2010.507835. Epub 2010 Dec 21.

Abstract

Objectives: We studied the clinical management and prognosis of pregnant women with a history of abruption, as well as the associated risk factors.

Methods: We reviewed the cases of 23 patients with a history of abruption and 66 patients with abruption.

Results: The recurrence rate of abruption was 4.3%. Intentional care prolonged gestational age in most patients. Although the incidence of abruption was low (0.44%), the consequences could be perinatal death and maternal disseminated vascular coagulation (DIC).

Conclusion: To prevent abruption recurrence, careful monitoring during hospitalization is important. Both clinical findings and transabdominal echography are useful in diagnosing abruption.

MeSH terms

  • Abruptio Placentae / diagnosis
  • Abruptio Placentae / epidemiology*
  • Abruptio Placentae / prevention & control*
  • Adult
  • Female
  • Gestational Age
  • Humans
  • Japan / epidemiology
  • Pregnancy
  • Pregnancy Outcome
  • Prenatal Care
  • Prenatal Diagnosis*
  • Recurrence
  • Retrospective Studies
  • Risk Factors