With detachment of the normally located placenta, blood can flow through the cervix (external bleeding) or remain behind the placenta (latent bleeding). Placental abruption can also be a threat to the mother’s health. Placental abruption occurs in 0.4-1% of pregnancies (2). Placental abruption can affect the baby by increasing the risk of premature birth, growth problems and stillbirth. The placenta is an organ that develops in the uterus during pregnancy. Studies examining the frequency of placental abruption indicate the incidence may be increasing in the United A 32 year old woman G4 P3+0 presents to the emergency department with heavy bleeding and lower abdominal pain at 24 weeks gestation.On Examination there was no fetal heart beat, and the uterus was extremely tender on palpation. Some of the cases described in literature are associated with preexisting gynecologic conditions related to pelvic and uterine anatomy, even if most of cases remain unexplained. Left untreated, placental abruption puts both mother and baby in jeopardy. Placental abruption or abruptio placenta is a relatively rare and potentially life-threatening situation during the second half of pregnancy. In abruptio placentae, acute abdominal pain is present. We report a case of acute 180-degree torsion of uterus at 33 weeks of gestation associated with … This frequency is significant enough to make placental abruption the leading cause of vaginal bleeding in the second half of pregnancy (3). Placental abruption. Here, we review a case of a 21-year-old female at 17 weeks' gestation involved in a motor vehicle accident, who subsequently suffered a placental abruption and fetal demise secondary to the trauma. Severity of symptoms depends on the degree of separation of the placenta and loss of blood. In this article, we shall look at the pathophysiology, clinical features and management of placental abruption. Placental abruption affects less than 1% of pregnancies. Placental abruption is most common in the third trimester, but it can begin any time after 20 weeks of pregnancy. Uterine tenderness and pain accompany placental abruption, especially with a central abruption and trapped blood behind the placenta. However, if it does happen it requires immediate medical attention. It is a type of Antepartum Haemorrhage.Other causes of antepartum hemorrhage are Placenta previa, cervical erosion, cervical polyp, cervical carcinoma and varicose veins of the vagina or vulva.. Placental abruption or Abruptio Placentae is a condition in which there is premature separation of a normally situated placenta … Point tenderness on palpation over the location of the fibroid, particularly when there is no bleeding, will make abruption unlikely. In some cases, early delivery is needed. The abdomen will feel hard and board-like on palpation as the blood penetrates the myometrium and causes uterine irritability. It occurs when there is a compromise of the vascular structures supporting the placenta, which results in premature separation of the placenta … Placental abruption can deprive the baby of oxygen and nutrients and cause heavy bleeding in the mother. The uterus can be painful, sensitive to palpation. Symptoms of placental abruption. Ultrasound shows separation of the placenta, and a diagnosis of placental abruption was made which was managed accordingly. Abruptio placentae is premature separation of a normally implanted placenta from the uterus, usually after 20 weeks gestation. Placental abruption occurs when the placenta separates from the inner wall of the uterus before birth. Placental abruption is where a part or all of the placenta separates from the wall of the uterus prematurely.It is an important cause of antepartum haemorrhage – vaginal bleeding from week 24 of gestation until delivery. Fibroids may occasionally be palpable; however, they may also be associated with abruption and preterm labour, so caution should be exercised to ensure that women with fibroids are not having an abruption. It is one of the major causes of antepartum haemorrhage and accounts for 30% of all cases. It can be an obstetric emergency. How serious is a placental abruption? We present a review of traumatic placental abruptions, including epidemiology, … Manifestations may include vaginal bleeding, uterine pain and tenderness, hemorrhagic … Placental Abruption is also called 'Abruptio Placentae'. In very severe cases placental abruption can lead to developmental problems in the baby or even stillbirth. Torsion of a gravid uterus is a rare obstetric emergency potentially lethal for the fetus and the mother. Blunt abdominal trauma during pregnancy poses a significant risk to both the mother and fetus.
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