Placental abruption in term pregnancies: clinical significance and obstetric risk factors

Abstract

Abruption of the placenta at term was found to be significantly associated with PIH, non-vertex presentation, IUGR, hydramnios and advanced maternal age. Owing to the independent association found between placental abruption and perinatal mortality, these conditions should be carefully evaluated in order to reduce the occurrence of placental abruption.

Incidence and recurrence rate of placental abruption: a longitudinal linked national cohort study in the Netherlands

“…The decrease in incidence of placental abruption with advancing gestation in our study has been found in previous studies. [17][18][19]25,27 Our distribution of incidence by gestational age is similar to Tikkanen et al 25 The overall recurrence rate of placental abruption in this study was 5.8% (range, 2.3e11%). An increased risk for placental abruption after a previous placental abruption is found in Recurrent placental abruption by gestational age of first placental abruption Graph shows the time to placental abruption in a subsequent pregnancy after the first early preterm, late preterm, or term placental abruption.…”

“…Some studies included pregnancies with a minimum gestational age of 16 weeks, whereas the PRN registry comprises only pregnancies from a gestational age of 22 weeks. [17][18][19] In general, the incidence of placental abruption seems to be lower in Nordic countries than in the United States, where the population consists of more women from African American ethnicity. These women are more at risk for placental abruption than white women because HTD, smoking, alcohol, and cocaine use are more prevalent in this population.…”

Pregnancy and perinatal outcome in women with hyperthyroidism

“…Re-evaluation of thyroid function and careful clinical supervision throughout pregnancy are highly recommended. It is noteworthy that favorable perinatal outcomes were found despite hyperthyroidism being significantly associated with placental abruption, which is a recognized risk factor for adverse perinatal outcome [10][11][12].…”

Hématome rétroplacentaire. Prise en charge dans une maternité de référence du Niger. Étude prospective à propos de 118 cas sur un an

“…De nombreux facteurs de risque sont associés à la survenue d'un HRP : âge maternel élevé, multiparité, tabac, race noire, mauvaises conditions socioéconomiques, hypertension artérielle, malnutrition [18][19][20]. Notre population présente plusieurs de ces facteurs de risque : population de race noire, multipares, malnutrition, mauvaises conditions socio-économiques… Nous avons constaté une nette augmentation de la fréquence de l'HRP dans notre service.…”

“…Aucune association avec un risque élevé d'HRP n'a été retrouvée dans la littérature. En revanche, le tabac qui est un facteur de risque d'HRP [18][19][20][23][24][25] n'a pas été retrouvé dans notre étude : les femmes nigériennes n'ont pas pour habitude de fumer.…”