Abruptio placenta

From WikiMD's Wellness Encyclopedia

Abruptio Placenta is a serious pregnancy complication that occurs when the placenta detaches from the uterus prematurely. This condition can cause severe bleeding and can be life-threatening for both the mother and the baby.

Causes[edit | edit source]

The exact cause of abruptio placenta is unknown, but several risk factors have been identified. These include smoking, hypertension, trauma to the abdomen, and a history of abruptio placenta in previous pregnancies.

Symptoms[edit | edit source]

Symptoms of abruptio placenta can vary, but often include sudden and severe abdominal pain, heavy vaginal bleeding, and rapid uterine contractions. In some cases, the mother may also experience fainting or shock due to blood loss.

Diagnosis[edit | edit source]

Abruptio placenta is typically diagnosed through a combination of physical examination, ultrasound, and blood tests. The doctor will look for signs of bleeding and check the baby's heart rate. An ultrasound can help determine the location and extent of the placental detachment, while blood tests can assess the mother's blood volume and clotting ability.

Treatment[edit | edit source]

Treatment for abruptio placenta depends on the severity of the condition and the gestational age of the baby. If the baby is near full term and the mother is stable, immediate delivery may be the best option. If the baby is not yet full term, the mother may be hospitalized for close monitoring. In severe cases, a blood transfusion may be necessary to replace lost blood.

Prognosis[edit | edit source]

The prognosis for abruptio placenta depends on the extent of the placental detachment and the promptness of treatment. With early detection and appropriate treatment, the prognosis can be good. However, severe cases can result in serious complications for both the mother and the baby, including preterm birth, low birth weight, and stillbirth.

Prevention[edit | edit source]

While it may not be possible to prevent abruptio placenta, managing risk factors can help reduce the likelihood of this condition. This includes quitting smoking, controlling hypertension, and avoiding trauma to the abdomen during pregnancy.


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Contributors: Prab R. Tumpati, MD