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.

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.