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Clinical utility of sonography in the diagnosis and treatment of placental abruption.
Five categories of mortality were evaluated, including 1) placental abruption or haemorrhage (7021, P021; excluding placenta previa), 2) cord compression (7024, 7025, P024, P025), 3) congenital anomalies (740-759, Q00-Q99), 4) unspecified (7799, P95), and 5) all remaining causes too infrequent to be evaluated separately.
From experiencing something so horrific, I would like to raise awareness on placental abruption and also other complications that occur during pregnancies and neonatal care.
Blood pressure and liver enzymes were elevated, and the patient had proteinuria, hemoconcentration, thrombocytopenia, and placental abruption.
Placental abruption is a rare but potentially fatal complication in which the placenta separates from the uterus too early.
Placental abruption can deprive the baby of oxygen and nutrients and cause painful contraction and heavy bleeding in the mother.
Maternal morbidity is mostly associated with disseminated intravascular coagulation (DIC), placental abruption, acute renal failure and ruptured liver haematoma.
In addition, cesarean sections increase the risk of serious problems with subsequent pregnancies: placenta previa (the placenta blocks the opening to the cervix), placental accreta (the placenta invades the uterine muscle, making separation difficult), placental abruption (placental separates from uterine wall during labor and before delivery), and uterine rupture.
Although the above mentioned lesions are common to intrauterine growth retardation, pre-eclampsia, placental abruption and thrombophilia, some investigators have observed an increase in the extent of villous infarction, which could be consequent to increased occlusive thrombi in spiral arterioles.
Of 10 birth outcomes studied, five-low birth weight, preterm delivery, placental abruption, preterm labor and intrauterine fetal death-occurred significantly less often among women who screened positive and received an assessment and treatment than among those who screened positive but did not receive further program services.
Haas, Udvarhelyi, and Epstein (1993) show that women who receive "satisfactory" prenatal care have better health outcomes (as measured by the occurrence of severe pregnancy-related hypertension, placental abruption, or mother's stay in hospital after delivery at least one day longer than her infant's stay) than women who receive "inadequate" prenatal care, and Conway and Kutinova (2006) demonstrate that timely and adequate prenatal care may increase the probability of maintaining a healthy weight after the birth.
Modern monitoring technology may allow the early detection of some problems in labour, reducing the incidence of complications, but major obstetric emergencies such as placental abruption, haemorrhage or umbilical cord prolapse arise with little or no warning.