Placental abruption

Katherine Hladky, Jerome Yankowitz, Wendy F. Hansen

Research output: Contribution to journalReview articlepeer-review

52 Scopus citations

Abstract

Placental abruption complicates approximately 1% to 2% of all pregnancies and remains a significant cause of both maternal and fetal morbidity. Proposed pathophysiology of both acute placental abruption and the more common partial placental separation are discussed. The contribution of placental abruption to both preterm labor and preterm premature rupture of membranes is discussed. Recent evidence supporting maternal hypertensive disorders, maternal tobacco and cocaine use, age and parity, multiple gestations, maternal thrombophilias, and an unexplained elevated maternal serum alphafetoprotein as risk factors for abruption is reviewed. Emergency management of acute abruption is outlined. Finally, particular emphasis is given to the management of partial placental separation, including both immediate and delayed delivery and the use of tocolysis.

Original languageEnglish
Pages (from-to)299-305
Number of pages7
JournalObstetrical and Gynecological Survey
Volume57
Issue number5
DOIs
StatePublished - 2002

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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