Clinical Management and Outcome of Pregnancies Complicated by Previous Abruption

Sakikawa, Makiko; Adachi, Tomoko; Nakabayashi, Yasushi; Matsui, Daisuke; Urano, Akiyoshi; Tang, Xiaohui; Tsuruga, Kaya; Kawana, Yukiko; Takeda, Yohei; Nakayama, Shinichi; Hideki, Sakamoto; Nakabayashi, Masao

doi:10.3109/10641955.2010.507835

Cited by 2 publications

(4 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There are few studies into the recurrence of abruption. 14,[25][26][27][28][29][30][31][32] To our knowledge, no prior large population-based studies have examined abruption recurrence risk in the United States. Almost all previous sizeable studies that have examined the recurrence of abruption were performed in European populations.…”

Section: Discussionmentioning

confidence: 99%

“…Three studies from Finland and Japan examining the recurrence of placental abruption had very small numbers. [27][28][29] A study from South Africa found a recurrence rate of 35%. 30 However, that study may also be limited by small numbers.…”

Section: Discussionmentioning

confidence: 99%

“…There are few studies into the recurrence of abruption 14,25–32 . To our knowledge, no prior large population‐based studies have examined abruption recurrence risk in the United States.…”

Section: Discussionmentioning

confidence: 99%

“…Rassmussen et al 25,26 found that women who have abruptions in a pregnancy are at increased risk for other pregnancy complications in the next pregnancy and argue that these patients should be considered at high risk in subsequent pregnancies. Three studies from Finland and Japan examining the recurrence of placental abruption had very small numbers 27–29 . A study from South Africa found a recurrence rate of 35% 30 .…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Placental abruption: Incidence and risk of recurrence in subsequent pregnancies

Oyelese,

Peltier,

Donovan

et al. 2024

J of Obstet and Gynaecol

View full text Add to dashboard Cite

AimTo estimate the incidence of abruption in first births and recurrence in the subsequent birth in patients of a large US‐based integrated health care system.MethodsRetrospective population‐based cohort study of patients with first two consecutive singleton births using data from the Kaiser‐Permanente South California health care system who delivered over a period of 30 years (1991–2021), using longitudinally linked electronic health records. ICD‐9/ICD‐10 codes “641.20” and “O45.x” identified placental abruption. We calculated the incidence and rates of abruption in first and second pregnancies. We used logistic regression to estimate the adjusted odds ratios (aOR) for abruption in second pregnancies in patients with and without abruptions in their first pregnancies.ResultsOf the 126 264 patients with first two consecutive singleton births over the period, 805 had abruptions in their first births, and 861 in their second births. Rates of abruption in first and second births were 0.63% and 0.68%, respectively. Twenty‐seven patients had abruptions in both first and second births. Rates of abruption in the second birth among individuals with and without previous placental abruption were 3.35% and 0.66%, respectively, giving an approximately five‐fold increased odds of abruption in a second pregnancy in individuals who had abruption in their first birth when compared with those who did not have placental abruption in their first birth (aOR: 4.95, 95% confidence interval: 3.35–7.31, p < 0.00001). Interpregnancy interval had no statistically significant association with recurrence.ConclusionAbruption in a first birth is associated with an approximately five‐fold increased odds of abruption in a second birth.

show abstract