Journal of Pregnancy (Jan 2011)

Is the Perinatal Outcome of Placental Abruption Modified by Clinical Presentation?

  • Seishi Furukawa,
  • Hiroshi Sameshima,
  • Tsuyomu Ikenoue,
  • Masanao Ohashi,
  • Yoshio Nagai

DOI
https://doi.org/10.1155/2011/659615
Journal volume & issue
Vol. 2011

Abstract

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Objective. The purpose of this study was to elucidate the impact of the clinical presentation on perinatal outcome in placental abruption. Study Design. A retrospective study was performed in 97 placental abruptions. Placental abruptions were classified according to clinical presentation: pregnancy-induced hypertension (HT, n=22), threatened premature labor and/or premature rupture of membranes (TPL/ROM, n=35), clinically low risk (LR, n=27), and others (n=13). Perinatal outcomes were compared among the HT, TPL/ROM, and LR groups. Results. The HT had significantly higher incidence of IUGR, IFUD, and low fibrinogen. The TPL/ROM had less severe disease. However, the LR had significantly higher incidence of IUFD, low UA pH < 7.1, low Apgar score of <7 at 5 min, and low fibrinogen. Conclusion. Disease severity in placental abruption is likely to depend on the clinical presentation.