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Placental abruption is when the placenta separates early from the uterus, in other words separates before childbirth. [2] It occurs most commonly around 25 weeks of pregnancy . [ 2 ] Symptoms may include vaginal bleeding , lower abdominal pain , and dangerously low blood pressure . [ 1 ]
Couvelaire uterus (also known as uteroplacental apoplexy) [1] is a rare but not a life-threatening condition in which loosening of the placenta (abruptio placentae) causes bleeding that penetrates into the uterine myometrium forcing its way into the peritoneal cavity. This condition makes the uterus very tense and rigid.
Placental abruption causes blood loss from the mother and loss of oxygen and nutrients to the placenta occasionally leading to preterm labour. [14] Other causes of placental abruption can be abdominal trauma or sudden decompression of amniotic fluid , however it is not uncommon for the cause of placental abruption to be unknown.
Besides placenta previa and placental abruption, uterine rupture can occur, which is a very serious condition leading to internal or external bleeding. Bleeding from the fetus is rare, but may occur with two conditions called vasa previa and velamentous umbilical cord insertion where the fetal blood vessels lie near the placental insertion site unprotected by Wharton's jelly of the cord. [11]
Risk factors such as diabetes, chronic blood pressure and multiple pregnancies can increase the risk of developing placental disease. [3] Also, exposure to sudden trauma can increase the risk of placental abruption which coincides with placental disease. [6] There is no target treatment available for placental disease.
The team looked at a series of 1,527 single-child pregnancies that ended in miscarriage - here’s what they found
Placental abruption defined as the separation of the placenta from the uterus prior to delivery, is a major cause of third trimester vaginal bleeding and complicates about 1% of pregnancies. [ 13 ] [ 50 ] Symptomatic presentations are variable: Some women can entirely ignore the symptoms, while others have mild bleeding or abdominal discomfort ...
The woman had suffered a placental abruption and had to be rushed into an emergency cesarean section. Powell thought the baby wouldn’t make it, but both mother and newborn survived.