Please enter a valid e-mail address. Thank you! Your e-mail was sent. Save to my dashboard Sign in or Sign up to save this page. Saving Just a moment, please. You've saved this page It's been added to your dashboard. In This Topic. If you have a placental abruption greater separation between the placenta and the uterus , your baby is at higher risk for: Growth problems, called intrauterine growth restriction; identified by ultrasound Preterm birth birth that happens too early, before 37 weeks of pregnancy.
An early delivery can be done to save you and your baby Stillbirth when a baby dies in the womb after 20 weeks of pregnancy if the separation of the placenta is sudden and severe. What are the symptoms of placental abruption? How is placental abruption diagnosed? How is placental abruption treated?
Treatment depends on how serious the abruption is and how far along you are in your pregnancy. Mild placental abruption If you have a mild abruption at 24 to 34 weeks of pregnancy, you need careful monitoring in the hospital. You may need to give birth right away if: The abruption gets worse and you are having increased pain.
You are bleeding heavily or show signs in your blood tests of severe anemia. Your baby has heart rate changes that indicate it is having problems. Moderate or severe placental abruption If you have a moderate to severe abruption, you are in a medical emergency. What causes placental abruption? You may be at higher risk for placental abruption if: You had an abruption in a previous pregnancy.
You have high blood pressure. You smoke cigarettes. You use cocaine. Your belly is harmed from a car accident or physical abuse. Signs and symptoms of placental abruption include:. Abdominal pain and back pain often begin suddenly.
The amount of vaginal bleeding can vary greatly, and doesn't necessarily indicate how much of the placenta has separated from the uterus. It's possible for the blood to become trapped inside the uterus, so even with a severe placental abruption, there might be no visible bleeding. In some cases, placental abruption develops slowly chronic abruption , which can cause light, intermittent vaginal bleeding. Your baby might not grow as quickly as expected, and you might have low amniotic fluid or other complications.
The cause of placental abruption is often unknown. Possible causes include trauma or injury to the abdomen — from an auto accident or fall, for example — or rapid loss of the fluid that surrounds and cushions the baby in the uterus amniotic fluid.
You can't prevent placental abruption, but you can decrease certain risk factors. For example, don't smoke or use illegal drugs, such as cocaine.
If you have high blood pressure, work with your health care provider to monitor the condition. Always wear your seatbelt when in a motor vehicle. Without prompt medical treatment, a severe case of placental abruption can have dire consequences for the mother and her unborn child, including death. Worldwide, placental abruption occurs in about one pregnancy in every In about half of cases, placental abruption is mild and can be managed by ongoing close monitoring of the mother and baby.
About 25 per cent of cases are moderate, while the remaining 25 per cent threaten the life of both baby and mother. In some cases, bleeding may occur but the blood may clot between the placenta and the wall of the uterus, so vaginal bleeding may be scanty or even non-existent.
Some of the known causes of placental abruption include:. While the exact cause in most cases is unknown, certain factors make a pregnancy more susceptible to placental abruption. Risk factors may include:.
The symptoms and signs of placental abruption can mimic those of other pregnancy conditions, such as placenta previa and pre-eclampsia. Information that may be used to diagnose placental abruption includes:. The placenta is usually sent to a laboratory for further diagnostic testing. All cases of suspected placental abruption, regardless of severity, should be closely monitored to protect the health and safety of the mother and child. This monitoring is usually done in hospital and should include regular checks of the vital signs of both mother and baby.
Treatment depends on the severity of the condition but may include:. While it is impossible to prevent placental abruption, the risk can be reduced. Suggestions include:. This page has been produced in consultation with and approved by:. In Victoria, you can have two types of abortion: surgical and medication. Both types are safe and reliable. You can have a medication abortion up to nine weeks of pregnancy.
You can have a surgical abortion from around six weeks of pregnancy onwards. How is placental abruption diagnosed? What will happen if I have a placental abruption? Will placental abruption happen again? Can I do anything to prevent another placental abruption? Find out what you and your new baby will really need when you go into hospital to give birth. More pregnancy videos. Placental abruption : pathophysiology, clinical features, diagnosis, and consequences.
Abruptio placentae. Nursing and midwifery actions at the three levels of public health practice: improving health and wellbeing at individual, community and population levels. Department of Health, Public Health England. Emergent management of abruptio placentae. Messages for care of women with haemorrhage or amniotic fluid embolism. Antenatal care: routine care for the healthy pregnant woman. Hypertension in pregnancy: the management of hypertensive disorders during pregnancy. Caesarean section.
First aid. Travelling in pregnancy.
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