abruptio placentae journal articles

The existing clinical criteria of severity rely exclusively on fetal (fetal distress or fetal death) and maternal complications without consideration of neonatal or preterm delivery-related complications. Placental abruption is often referred to in the literature as a complication of preeclampsia. The objective of this study was to determine the risk factors, maternal and perinatal outcomes of patients managed for abruptio placentae at the University of Abuja Teaching Hospital, (UATH), during a five-year period. Objective: Abruptio placentae is an important cause of antepartum fetal death, and believed to be nonpreventable. Back; Journal Home; Online First; Current Issue; All Issues; Special Issues; About the journal; Journals. Factors increasing chances of abruptio placenta are advanced age pregnancy, parity, smoking, pregnancy-induced hypertension, pre-eclampsia, and previous incidence of abruptio. Severe placental abruption is a major risk factor for stillbirth or preterm delivery. Schlabritz-Loutsevitch N, Schenone A, Schenone M, Gupta S, Hubbard G, Zhang J, Mari G, Dick E. J Med Primatol, 42(4):204-210, 27 Apr 2013 Cited by: 1 article | PMID: 23621893 | PMCID: PMC3760011. Placental abruption can be confirmed by gross examination of the placenta. PubMed journal article: Placental abruption and perinatal mortality with preterm delivery as a mediator: disentangling direct and indirect effects. Placental abruption. Placental abruption, also known as abruptio placentae, is the most common cause of postpartum bleeding, and involves separation of the normally situated placenta after the 20th week of gestation and prior to birth [1]. Have a coupon or promotional code? Abruptio placentae fatal to the fetus or neonate was studied in a prospective series of 59,379 pregnancies with approximately 60,000,000 pieces of data used in the analyses. Abruptio Placentae: Risk Factors and Perinatal Outcome Abruptio Placentae: Risk Factors and Perinatal Outcome Abu‐Heija, Adel; Al‐Chalabi, Haifa; El‐lloubani, Nahar 1998-04-01 00:00:00 I ) Department of Obstetrics and Gynecology,Jordan University of Science and Technology, Irbid, Jordan 2 ) Princess Badeea Teaching Hospital, Irbid, Jordan Abstract Objective: It is a case control study . Risk factors of abruptio placentae among Peruvian women. Placental abruption, classically defined as the complete or partial separation of a normally implanted placenta before delivery, occurs in 0.4-1% of pregnancies (1-6).The incidence varies slightly in different populations (5-9), and has been increasing in some studies (9-11) but not all ().At least 50 different risk factors or risk markers for placental abruption have been . The placenta is fixed to the uterine wall by anchoring villi. Placental abruption occurs when the placenta separates from the inner wall of the uterus before birth. In one case, the uterus ruptured at the previous lower segment Caesarean section (LSCS) scar . Furthermore, in the pre-eclampsia patients who subsequently developed abruptio placentae, the eNOS GT genotype emerged as a major risk factor for the development of abruptio placentae (p<0.0001). It is also an important cause of perinatal. Similar Articles To arrive at the top five similar articles we use a word-weighted algorithm to compare words from the Title and Abstract of each citation. Abruptio placentae remain a major cause of maternal morbidity and mortality and a significant cause of perinatal loss especially in the resource poor countries like Nigeria. Clinical features resembled Abruptio Placentae. 1 Background Placental abruption traditionally is defined as the premature separation of the implanted placenta before the delivery of the fetus. The recurrence rate of abruptio placentae was 5.6%. Therefore, placental abruption should be on the differential in any case of unexplained preterm bleeding or birth. Torsion of a gravid uterus is a rare obstetric emergency potentially lethal for the fetus and the mother. [3] The perinatal mortality rate varies between 20 and 67%, depending on gestational age, fetal weight, and the degree of abruption. Abruptio placentae from abdominal massage in a tertiary hospital in South-South, Nigeria: A case series. 1. In a recent abruption a crater-like depression on the maternal surface of the placenta covered by dark clotted blood, the so-called 'delle', can be found ().In older abruptions, fibrin deposits appear on the site of abruption ().A totally abrupted placenta may not differ from normal placenta by maternal surface (8, 14). TY - JOUR T1 - Abruptio placentae: risk factors and perinatal outcome. Buy this Article for $5.95. THE pathogenesis of hypofibrinogenemia associated with placental abruption continues to be a subject of much conjecture. Placental abruption, one of the severest of all obstetrical complications, is a condition when the placenta detaches prematurely [ 1 ]. We report a case of acute 180-degree torsion of uterus at 33 weeks of gestation associated with abruptio . abruption, apnea, neonatal morbidity, perinatal mortality, respiratory distress syndrome Placental abruption, defined as the premature detachment of the placenta from the uterine wall, before birth and after 20 weeks' gestation, occurs in 0.6%-1% of all pregnancies in the United States ( 1, 2 ). Abruption of the placenta URL of Article Placental abruption (or abruptio placentae) refers to a premature separation of the normally implanted placentaafter the 20thweek of gestation and before the 3rd stage of labor. It is one of the causes of bleeding during the second half of pregnancy. Total hysterectomy was advocated by Couvelaire in 1991. The complication is associated with disproportionately high rates of perinatal mortality and morbidity and neurodevelopmental deficits in children later in life [ 2 - 5 ]. Methods We conducted a retrospective study that involved all the patients that were diagnosed with PA in a tertiary maternity hospital between 2006 and 2013. 1979;133: 877-881. Enter it here: When you buy this you'll get access to the ePub version, a downloadable PDF, and the ability to print the full article. Antepartum vaginal bleeding during the course of expectant management was the most common feature in the clinical course of the patients who developed abruptio placentae. Placental abruption is an uncommon obstetric complication associated with high perinatal mortality rates. Overview; Fingerprint; Abstract. Background: The diagnosis of placental abruption is primarily clinical, but findings from imaging, laboratory, and postpartum pathologic studies can be used to support the clinical diagnosis. Journal of Clinical and . A total of 154 women were diagnosed with abruptio placentae during the period from December 1995 to August 1996 giving an incidence of 2%. Free Online Library: ABRUPTIO PLACENTAE-VIGILANCE NEEDED! Citation: American Journal of Roentgenology. The objective of this study was to determine the risk factors, maternal and perinatal outcomes of patients managed for abruptio placentae at the University of Abuja Teaching Hospital, (UATH), during a five-year period. Bleeding and pain are classic symptoms, but not always apparent. The author, faculty, and staff in a position to control the content . [4] The syndrome of abruptio placentae was originally described in 1997. The. Enter it here: When you buy this you'll get access to the ePub version, a downloadable PDF, and the ability to print the full article. Its exact etiology remains obscure, however various risk factors have been implicated like advanced maternal age, high parity, low socio-economic status, smoking, folic acid deficiency, maternal hypertension, thrombophilia and trauma. BACKGROUND: To determine the association of chorioamnionitis with placental abruption. Download Prime PubMed App to iPhone, iPad, or Android Y. Oyelese, C. Ananth Published 2006 Medicine Obstetrics and gynecology Placental abruption complicates about 1% of pregnancies and is a leading cause of vaginal bleeding in the latter half of pregnancy. Total hysterectomy was advocated by Couvelaire in 1991. Placental abruption can be confirmed by gross examination of the placenta. In the series both age and parity, but not pre-eclarapsia or anaemia, are significant associated factors. Some of the cases described in literature are associated with preexisting gynecologic conditions related to pelvic and uterine anatomy, even if most of cases remain unexplained. Abstract and Figures Placental abruption complicates about 1% of pregnancies and is a leading cause of vaginal bleeding in the latter half of pregnancy. When spiral arteries lack the physiologic trophoblast invasion, like in case of maternal hypertension placental infarcts/abruption might occur. Major factors in this reduction were elimination of very high parity and a marked increase in the percentage of Latin American women, in whom the . Author Information. [The study on mechanism of abruptio placentae caused by chorioamnionitis]. Placental abruption has been associated with a 20% to 40% rate of preterm delivery. These results suggest that pregnancy‐induced hypertension, intrauterine growth retardation, preterm delivery and placental abruption share an aetiological factor or represent different clinical expressions of recurring placental dysfunction. Swabs from the cervix and placental membranes were cultured for aerobic and anaerobic organisms. Associations between 2 polymorphisms in the methylenetetrahydrofolate reductase gene and placental abruption, American Journal of Obstetrics and Gynecology, 10.1016/j.ajog.2007.06.046, 197, 4, (385.e1-385.e7), (2007). The study was based on 7,508,655 singleton births delivered in 1995 and 1996 in the United States. abruptio placentae ranges between 0.4 and 0.8%.4, 10 It accounted for 3.6% of maternal death in a recent Nigerian nationwide study (Oladapo et al., 2016). The authors explored the associations of abruption with fetal growth restriction, preterm delivery, and perinatal survival. Abruptio placentae in cynomolgus macaques (Macaca fascicularis): male bias. Placental abruption (or abruptio placentae) refers to a premature separation of the normally implanted placenta after the 20 th week of gestation and before the 3 rd stage of labor. When spiral arteries lack the physiologic trophoblast invasion, like in case of maternal hypertension placental infarcts/abruption might occur. Of these, 104 were normotensive and 50 were hypertensive. (2013) T PubMed journal article: Risk factors for abruptio placentae and eclampsia: analysis of 445 consecutively managed women with severe preeclampsia and eclampsia. Placental abruption is a relatively rare but serious complication of pregnancy and placed the well-being of both mother and fetus at risk. As most known causes of abruptio placentae are either preventable or treatable, an increased frequency of the condition remains a source of concern to . The syndrome of abruptio placentae was originally described in 1997. Close. At Parkland Memorial Hospital the frequency of abruptio placentae so severe as to kill the fetus has decreased from 1 in 420 deliveries during 1956 through 1969 to 1 in 830 during 1974 through 1989. SUBJECT AND METHOD: Fifty pregnant women admitted with abruptio placentae were compared to an equally large control group in spontaneous labor with no history of antepartum hemorrhage. 7, - 13 Adverse outcome related to prematurity and birth-related asphyxia may compromise neurodevelopmental outcome of these children. In some cases, early delivery is needed. Background: Abruptio Placentae is the commonest cause of bleeding per vaginam in the third trimester of pregnancy. All diagnoses were . It remains a major cause of perinatal morbidity and mortality globally, though of most serious concern in the developing world. Abruption involving more than 50% of the placenta is frequently associated with fetal death. J Clin Case Rep 6: 775. doi: 10.4172/2165-7920.1000775 Page 2 of 2 J Clin Case Rep olue ssue : JCCR an open access journal 6.ikkanen M, Luukkaala T, Gissler M, Ritvanen A, Ylikorkala O, et al. We report 3 recent cases where the first symptom of preeclampsia was placental abruption. As most known causes of abruptio placentae are either preventable or treatable, an increased frequency of the condition remains a source of concern to . Back; The Lancet; The Lancet Child . Perinatal outcome in patients with placental abruption with and without antenatal haemorrhage. Placental Abruption. Download Prime PubMed App to iPhone, iPad, or Android 7 Data reveal that children who survive after placental abruption have a higher risk for conditions such as cerebral palsy, 8, - 10 cystic periventricular leukomalacia . A series of 193 cases of abruptio placentae in a hospital population of 35 217 is described. This is an incidence of 0.55%. International Journal of Gynecol and Obstet 2001; 75: 193-194. Dr. Hamdi is Assistant Professor of Obstetrics and Gynecology, The Alpert Medical School of Brown University, Women and Infants Hospital of Rhode Island, 101 Dudley St, Providence, RI 02905; E-mail: mhamdi@wihri.org. Abstract. All women were previously healthy and in their first ongoing pregnancy. Placental abruption usually presents as combination of vaginal bleeding, uterine contractions, and pain. It is a potentially fatal complication of pregnancy and is a significant cause of third-trimester bleeding/antepartum hemorrhage. 98% received blood transfusion and majority (91%) of them received 1-4 units of blood. Introduction. Buy this Article for $5.95. 17, No. Keywords: Abruptio placenta, postpartum haemorrhage, Disseminated intravascular coagulation INTRODUCTION The exact etiology of abruption is unknown but the risk factors such as high parity, advanced maternal age, low Placental abruption is a major obstetric complication socioeconomic status, cigarette smoking, abdominal leading to increase in . Abruptio placentae is defined as placental detachment before and during delivery [].It occurs in about 0.38-1 % of singleton births, and the incidence increases among twin pregnancies, ranging from 1 to 2 % [2, 3].It is a major obstetric complication associated with an increased risk of foetal and maternal morbidity and mortality globally, especially in developing countries [1, 4-6]. In patients with classic symptoms, fetal heart rate abnormalities, intrauterine fetal demise, and/or disseminated intravascular coagulation strongly support the clinical diagnosis and indicate extensive . Abruptio placentae remain a major cause of maternal morbidity and mortality and a significant cause of perinatal loss especially in the resource poor countries like Nigeria. Research output: Contribution to journal › Article › peer-review. primary clinical fi ndings are vaginal bleeding . All had been seen by obstetricians for regular pregnancy checkups. ICD 10 defines placental abruption as 'The separation of the placenta from the maternal uterine attachment when it occurs after the twentieth week of the pregnancy.' [ 17] Since 1 Oct 1990 Finland had a separate check-box for placental abruption. Nine patients with prolonged, preterm premature rupture of the membranes (PROM) had associated abruptio placentae confirmed at delivery. A posterior hysterotomy was done to extract the baby which . O+ve was the commonest (42%) blood group. (Original Research Article, Report) by "Journal of Evolution of Medical and Dental Sciences"; Health, general Abruptio placentae Care and treatment Development and progression Health aspects Prevention Risk factors Hypertension Infant mortality Infants Patient outcomes Maternal health services Evaluation Maternal mortality Medical . Free to read Yen Med J. Placental abruption can deprive the baby of oxygen and nutrients and cause heavy bleeding in the mother. It is also an important cause of perinatal mortality and morbidity. Sanchez SE, Pacora PN, Farfan JH, Fernandez A, Qiu C, Ananth CV, Williams MA. Background: Abruptio Placentae is the commonest cause of bleeding per vaginam in the third trimester of pregnancy. Background Placenta abruptio (PA) remains a serious materno-fetal complication. Abruptio placentae refers to pla cental detach-. AU - Abu-Heija,A, AU - al-Chalabi,H, AU - el-Iloubani,N, PY - 1998/6/19/pubmed PY - 1998/6/19/medline PY - 1998/6/19/entrez SP - 141 EP - 4 JF - The journal of obstetrics and gynaecology research JO - J Obstet Gynaecol Res VL - 24 IS - 2 N2 - OBJECTIVE: It is a case control study, conducted in order to determine the risk . The size of a retroplacental abruption predicts fetal outcome, with greater than 50% placental detachment and haematoma volume . We tested the hypothesis that intensive fetal surveillance is associated with a decrease in abruptio placentae-related antepartum . Abruptio placentae are the premature separation of a normally located placenta after viability but before the delivery of the foetus., It is a major cause of massive obstetric haemorrhage, contributes significantly to perinatal morbidity and mortality and it is the most common cause of intrapartum foetal death., Abruptio placentae remain a significant cause of maternal mortality especially in . According to progress realized in maternal-fetal medicine, we aimed to evaluate the diagnosis and management of PA and neonatal outcomes. The placenta is fixed to the uterine wall by anchoring villi. It remains a major cause of perinatal morbidity and mortality globally, though of most serious concern in the developing world. It is one of the causes of bleeding during the second half of pregnancy. Citation: Jovandaric MZ(2016) The Effect of Abruptio Placentae on Perinatal Outcome of Pregnancy. Abruptio placentae (ie, placental abruption) refers to separation of the normally located placenta after the 20th week of gestation and prior to birth. This Journal. Central Medical Journal of Obstetrics and Gynecology Research Article *Corresponding author Tebeu Pierre Marie, Department of Obstetrics and The Pattern of Abruption Gynecology, Faculty of Medicine and Biomedical Sciences, University Hospital, Yaoundé- Cameroon, Tel: 237- 77 67 55 33; Email: pmtebeu@yahoo.fr Placenta in Cameroon Submitted: 18 October 2013 Accepted: 06 November 2013 Published . 13 Our results extend information on the relationship of abruption and low birth weight and prematurity by demonstrating that much of the contribution of abruption to low birth weight is mediated through shortened gestations, and, to a lesser extent, through . bleeding at the decidual placental interface. Placental abruption. Journals Articles. There was a higher incidence of abruptio placentae among the age group 15-20 years in hypertensive patients. The causes of APH were: cervical dilatation (n = 54, 11.3%), central placental abruption (n = 57, 11.9%), peripheral placental abruption (n = 59, 12.3%), placenta previa (n = 140, 29.2%), others non-related to pregnancy (n = 42, 8.8%), uterine rupture (n = 2, 0.4%) and unknown etiology (n = 126, 26.3%). Increased morbidity of infants born after placental abruption is established. 229-233. Placental abruption is the early separation of a placenta from the lining of the uterus before completion of the second stage of labor. Pregnancies without placental abruption in the same women were the controls. Search by keywords: In the field: Search. Placental abruption is a leading cause of maternal morbidity and perinatal mortality. None of the patients had a preexisting diagnosis of preeclampsia. A differential for third 3, pp. The most commonly proposed explanation has been intravascular coagulation du. ment before delivery of the fetus caused by. Analyzing 130 cases of abruptio placentae among 26,743 deliveries (1:206), the authors conclude that effective management depends primarily on early recognition of the high-risk patient, immediate hospitalization of all women with third trimester bleeding, prompt institution of liberal whole blood replacement, and early definitive diagnosis. Hamdi, Mohamad MD. Abruptio placentae accounts for 20 to 25% of antepartum haemorrhages and the bleeding may be revealed in 65 to 80% of cases and concealed in 20 to 35% of cases Placental abruption is the early separation of a placenta from the lining of the uterus before completion of the second stage of labor. Cite this article: Oriji PC, Allagoa DO, Omietimi JE, Obagah L, Orisabinone IB, Tekenah ES. Original Article from The New England Journal of Medicine — Risk Factors for Preeclampsia, Abruptio Placentae, and Adverse Neonatal Outcomes among Women with Chronic Hypertension logo-32 logo-40 MTHFD1 R653Q polymorphism is a maternal genetic risk factor for severe abruptio placentae . Journal of Obstetrics and Gynaecology: Vol. With placental abruption, the woman is at risk for hemorrhage and the need for blood transfusions, hysterectomy, bleeding disorders specifically disseminated intravascular coagulopathy, renal failure, and Sheehan syndrome or postpartum pituitary gland necrosis. In a recent abruption a crater-like depression on the maternal surface of the placenta covered by dark clotted blood, the so-called 'delle', can be found ().In older abruptions, fibrin deposits appear on the site of abruption ().A totally abrupted placenta may not differ from normal placenta by maternal surface (8, 14). We analyzed data from a population-based retrospective cohort with singleton pregnancies in the United States for 1995 to 2000. 2020;2(3):32-35. (1997). Have a coupon or promotional code? It is a potentially fatal complication of pregnancy and is a significant cause of third-trimester bleeding/antepartum hemorrhage. The purpose of this study was to compare risk factors between placental abruption and placenta previa among primiparous and multiparous singleton pregnancies. Maternal risk factors for placenta previa and placental abruption were examined using multiple logistic . 83% of these ladies with abruptio placentae were anaemic and 61 were moderate to severely anemic. Retroplacental abruption is a type of placental abruption where placental tissue prematurely separates from the uterus and blood accumulates between the basal plate (maternal side of the placenta) and the myometrium 1.The result is a retroplacental haemorrhage.. 10.2214/ajr.133.5.877 The objective of the study was to find the frequency . Placental abruption is a clinical diagnosis, but is complicated by a highly variable clinical picture. Chang Y.L., Chang S.D., Cheng P.J. Am J Obstet Gynecol, 194(1):225-230, 01 Jan 2006 Cited by: 24 articles | PMID: 16389036 The diagnosis of uterine torsion (180°) was established on laparotomy where the left ovarian ligament was seen on the right side anteriorly. There were no maternal deaths and the perinatal mortality was 35%. Placental abruption is the term for when part or all of the placenta separates unexpectedly from the uterus after the 20th week of pregnancy. Thromboelastography in abruptio placentae. The diagnosis of abruption is a clinical one, and ultrasonography and the Kleihauer-Betke test are of limited value. Omu A.E., Diejomaoh F.M.E., Racial difference in the etiology of abruptio placentae International Journal of Obstet Gynecol 1981; 19:205-210.

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