Placental abruption natural history, complications and prognosis

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Cafer Zorkun M.D., PhD.

History

• The pregnant comes with vaginal bleeding associated with abdominal pain and contractions ,in the second half of pregnancy. absence of bleeding doesn't exclude the diagnosis some of the cases the Sometimes, blood gets trapped inside the uterus.

Complications

• Excess blood loss may lead to shock and possible death in the mother or baby.

• If bleeding occurs after the delivery and blood loss cannot be controlled in other ways, the mother may need a hysterectomy (removal of the uterus).

Prognosis

• The mother does not usually die from this condition.

• However, all of the following increase the risk for death in both the mother and baby:

• Closed cervix
• Delayed diagnosis and treatment of placental abruption
• Excessive blood loss, leading to shock
• Hidden (concealed) uterine bleeding in pregnancy
• No labor

• Fetal distress occurs early in the condition in about half of all cases.

• Infants who live have a 40-50% chance of complications, which range from mild to severe.