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Abruptio Placentae

Prabhcharan Gill, MD Reviewed 06/2022
 


BASICS

DESCRIPTION

Bleeding at the decidua-placental interface. The diagnosis is typically reserved for pregnancies after 20 weeks. 

EPIDEMIOLOGY

Incidence

  • The overall prevalence rate of abruption in Unit...

DIAGNOSIS

HISTORY

  • May present with classic triad of vaginal bleeding, contractions, and abdominal pain or with complaints of discomfort or pain between contractions or contractions observed to be frequ...

TREATMENT

GENERAL MEASURES

Supportive maternal care and continuous fetal monitoring after gesttaion has reached vaibility remain the hallmark of obstetric care; with thresholds to decide for delivery d...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Fetal growth surveillance with interval obstetric ultrasound

  • Correction of maternal anemia

  • Patient self-surveillance for symptoms of recurrent abruption

  • Elective del...

REFERENCES

1
Sakornbut  E, Leeman  L, Fontaine  P. Late pregnancy bleeding. Am Fam Physician.  2007; 75(8): 1199– 1206.  [View Abstract] ...

ADDITIONAL READING

  • Ozcan  T, Pressman  EK. Imaging of the placenta. Ultrasound Clin.  2008; 3(1): 13– 22.

  • Salihu  HM, ...

CODES

ICD10

  • O45.009 Premature separation of placenta with coagulation defect, unspecified, unspecified trimester

  • O45.8 Other premature separation of placenta

  • O45.013 Premature separation of placenta with...

CLINICAL PEARLS

  • Placental abruption is the most common cause of serious vaginal bleeding in late pregnancy.

  • Abruption is a clinical diagnosis suggested by vaginal bleeding, abdominal pain, and contract...

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