Placental abruption: Difference between revisions

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Placental abruption is the separation of the [[placenta]] from the wall of the [[uterus]] before child[[birth]], which causes severe [[bleeding]] that threatens the [[life]] of the [[mother]] and the [[fetus]]
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[[File:Marginal and concealed placental abruption.jpg|alt=Marginal and concealed placental abruption|thumb|Marginal and concealed placental abruption]]
{{Infobox medical condition
| name          = Placental abruption
| image          = [[File:Blausen_0737_PlacentalAbruption.png|250px]]
| caption        = Illustration of placental abruption
| field          = [[Obstetrics]]
| synonyms      = Abruptio placentae
| symptoms      = [[Vaginal bleeding]], [[abdominal pain]], [[uterine contractions]]
| complications  = [[Disseminated intravascular coagulation]], [[fetal distress]], [[preterm birth]]
| onset          = [[Third trimester]] of [[pregnancy]]
| duration      = Varies
| causes        = [[Trauma]], [[hypertension]], [[cocaine use]], [[smoking]], [[multiple pregnancy]]
| risks          = [[Previous placental abruption]], [[preeclampsia]], [[advanced maternal age]]
| diagnosis      = [[Ultrasound]], [[clinical presentation]]
| differential  = [[Placenta previa]], [[uterine rupture]]
| prevention    = [[Avoidance of risk factors]]
| treatment      = [[Delivery]], [[blood transfusion]], [[monitoring]]
| prognosis      = Depends on severity and gestational age
| frequency      = 1 in 200 pregnancies
}}
Placental abruption is the separation of the [[placenta]] from the wall of the [[uterus]] before child[[birth]], which causes severe [[bleeding]] that threatens the [[life]] of the [[mother]] and the [[fetus]]
[[File:Marginal and concealed placental abruption.jpg|alt=Marginal and concealed placental abruption|left|thumb|Marginal and concealed placental abruption]]
== What is placenta? ==
== What is placenta? ==
The placenta is the organ that supplies food and oxygen to the baby during pregnancy.  
The placenta is the organ that supplies food and oxygen to the baby during pregnancy.
 
== Pathophysiology of placental abruption ==
== Pathophysiology of placental abruption ==
Placental abruption occurs when the [[placenta]] detaches from the [[uterus]] before delivery.  
Placental abruption occurs when the [[placenta]] detaches from the [[uterus]] before delivery.
[[File:Blausen 0737 PlacentalAbruption.png|alt=Placental Abruption|thumb|Placental Abruption]]
== Risk factors ==
== Risk factors ==
* History of placental abruption in previous pregnancy
* History of placental abruption in previous pregnancy
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* An injury to the mother (such as a car crash or fall in which the abdomen was hit)
* An injury to the mother (such as a car crash or fall in which the abdomen was hit)
* Being older than 40
* Being older than 40
[[File:Blausen 0737 PlacentalAbruption.png|alt=Placental Abruption|thumb|'''Placental Abruption''']]
== Signs and symptoms ==
== Signs and symptoms ==
The most common symptoms are [[vaginal bleeding]] and painful contractions.  
The most common symptoms are [[vaginal bleeding]] and painful contractions.
 
== Effect on the fetus ==
== Effect on the fetus ==
Blood and oxygen supply to the baby may also be affected, leading to [[fetal distress]].  
Blood and oxygen supply to the baby may also be affected, leading to [[fetal distress]].
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== Cause ==
== Cause ==
The cause is unknown, but high blood pressure, diabetes, smoking, cocaine or alcohol use, injury to the mother, and having multiple pregnancies increase the risk for the condition.  
The cause is unknown, but high blood pressure, diabetes, smoking, cocaine or alcohol use, injury to the mother, and having multiple pregnancies increase the risk for the condition.
 
== Diagnosis ==
== Diagnosis ==
Physical exam including a vaginal examination
Physical exam including a vaginal examination
Check contractions of the baby
Check contractions of the baby
Ultrasound to placenta  
Ultrasound to placenta
Monitor Baby's heart rate and rhythm
Monitor Baby's heart rate and rhythm
== Prevention ==
== Prevention ==
Keeping high blood pressure, heart disease, and diabetes under control
Keeping high blood pressure, heart disease, and diabetes under control
Not using tobacco, alcohol, or cocaine
Not using tobacco, alcohol, or cocaine
== Alternative Names ==
== Alternative Names ==
Premature placental separation; Placental separation; Placental abruption; Vaginal bleeding - abruption; Pregnancy - abruption
Premature placental separation; Placental separation; Placental abruption; Vaginal bleeding - abruption; Pregnancy - abruption
== Treatment ==
== Treatment ==
Treatment depends on the severity of the condition and can range from bed rest to emergency [[C-section]].
Treatment depends on the severity of the condition and can range from bed rest to emergency [[C-section]].
{{Pathology of pregnancy, childbirth and the puerperium}}
{{Pathology of pregnancy, childbirth and the puerperium}}
{{stub}}
{{stub}}
[[Category:Health issues in pregnancy]]
[[Category:Health issues in pregnancy]]

Latest revision as of 12:19, 12 April 2025

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC

Placental abruption
Synonyms Abruptio placentae
Pronounce N/A
Specialty N/A
Symptoms Vaginal bleeding, abdominal pain, uterine contractions
Complications Disseminated intravascular coagulation, fetal distress, preterm birth
Onset Third trimester of pregnancy
Duration Varies
Types N/A
Causes Trauma, hypertension, cocaine use, smoking, multiple pregnancy
Risks Previous placental abruption, preeclampsia, advanced maternal age
Diagnosis Ultrasound, clinical presentation
Differential diagnosis Placenta previa, uterine rupture
Prevention Avoidance of risk factors
Treatment Delivery, blood transfusion, monitoring
Medication N/A
Prognosis Depends on severity and gestational age
Frequency 1 in 200 pregnancies
Deaths N/A


Placental abruption is the separation of the placenta from the wall of the uterus before childbirth, which causes severe bleeding that threatens the life of the mother and the fetus

Marginal and concealed placental abruption
Marginal and concealed placental abruption

What is placenta?[edit]

The placenta is the organ that supplies food and oxygen to the baby during pregnancy.

Pathophysiology of placental abruption[edit]

Placental abruption occurs when the placenta detaches from the uterus before delivery.

Risk factors[edit]

  • History of placental abruption in previous pregnancy
  • Long-term (chronic) high blood pressure
  • Sudden high blood pressure in pregnant women who had normal blood pressure in the past
  • Heart disease
  • Abdominal trauma
  • Smoking
  • Alcohol or cocaine use
  • Placental abruption in an earlier pregnancy
  • Fibroids in the uterus
  • An injury to the mother (such as a car crash or fall in which the abdomen was hit)
  • Being older than 40

Signs and symptoms[edit]

The most common symptoms are vaginal bleeding and painful contractions.

Effect on the fetus[edit]

Blood and oxygen supply to the baby may also be affected, leading to fetal distress.

Cause[edit]

The cause is unknown, but high blood pressure, diabetes, smoking, cocaine or alcohol use, injury to the mother, and having multiple pregnancies increase the risk for the condition.

Diagnosis[edit]

Physical exam including a vaginal examination Check contractions of the baby Ultrasound to placenta Monitor Baby's heart rate and rhythm

Prevention[edit]

Keeping high blood pressure, heart disease, and diabetes under control Not using tobacco, alcohol, or cocaine

Alternative Names[edit]

Premature placental separation; Placental separation; Placental abruption; Vaginal bleeding - abruption; Pregnancy - abruption

Treatment[edit]

Treatment depends on the severity of the condition and can range from bed rest to emergency C-section.


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