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Placental abruption natural history, complications and prognosis

Introduction

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History

History

  • The pregnant comes with vaginal bleeding associated with abdominal pain and contractions ,in the second half of pregnancy. absence of bleeding doesn’t exclude the diagnosis some of the cases the Sometimes, blood gets trapped inside the uterus.
Complications

Complications

  • Excess blood loss may lead to shock and possible death in the mother or baby.
Prognosis

Prognosis

  • The mother does not usually die from this condition.
  • However, all of the following increase the risk for death in both the mother and baby:
  • Closed cervix
  • Delayed diagnosis and treatment of placental abruption
  • Excessive blood loss, leading to shock
  • Hidden (concealed) uterine bleeding in pregnancy
  • No labor
  • Fetal distress occurs early in the condition in about half of all cases.
  • Infants who live have a 40-50% chance of complications, which range from mild to severe.
References

References

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Cafer Zorkun M.D., PhD.