Request PDF on ResearchGate | Hématome rétroplacentaire: aspects épidémiocliniques et pronostiques à propos d’une série de cas | Objective. Aspects épidémiologiques, pronostiques et thérapeutiques de l’hématome retro placentaire (HRP) dans une maternité de référence en zone rurale. Ousmane. L’HEMATOME RETRO-PLACENTAIRE. I – Etiologies II – Etude clinique III – Les complications IV – Le traitement. Définition. Décollement.

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Health issues in pregnancy. Without any form of medical intervention, as often happens in many parts of the world, placental abruption has a high maternal mortality rate. Gestational thrombocytopenia Pregnancy-induced hypercoagulability. Sixty-seven patients gave birth prematurely. When anatomical risk factors are present, the placenta does not attach in a place that provides adequate support, and it may not develop appropriately or be separated as it grows.

Amniotic fluid hemaotme Cephalopelvic disproportion Dystocia Shoulder dystocia Fetal distress Locked twins Obstetrical bleeding Postpartum Pain management during childbirth placenta Placenta accreta Preterm birth Postmature birth Umbilical cord prolapse Uterine inversion Uterine rupture Vasa praevia.

Blood volume replacement to maintain blood pressure and blood plasma replacement to maintain fibrinogen levels may be needed. In the Western world, maternal deaths due to placental abruption are rare. Danforth’s Obstetrics and Gynecology.

Placental abruption

Caesarean section carries an increased risk hemstome cases of disseminated intravascular coagulation. People should be monitored for 7 days for postpartum hemorrhage. The fetus dies when it no longer receives enough oxygen and nutrients to survive. Digestive system Acute fatty liver of pregnancy Gestational diabetes Hepatitis E Hyperemesis gravidarum Intrahepatic cholestasis of pregnancy.


The fundus may be monitored because a rising fundus can indicate bleeding. Gestational pemphigoid Impetigo herpetiformis Intrahepatic cholestasis of pregnancy Linea nigra Prurigo gestationis Pruritic folliculitis of pregnancy Pruritic urticarial papules bematome plaques of pregnancy PUPPP Striae gravidarum.

Placental abruption is a serious and unpredictable situation.

The prognosis of this complication depends on whether treatment is received by the retroo, on placentwire quality of treatment, and on the severity of the abruption.

Top of the page – Article Outline. The diagnosis is one of exclusion, meaning other possible sources of vaginal bleeding or abdominal pain have to be ruled out in order to diagnose placental abruption. D ICD – Based on symptoms, ultrasound [1].

Staying away from activities which have a high risk of physical trauma is also important. Drawing of pladentaire and external bleeding from placental abruption. Acute fatty liver of pregnancy Gestational diabetes Hepatitis E Hyperemesis gravidarum Intrahepatic cholestasis of pregnancy.

History of placental abruption or previous Caesarian section increases the risk by a factor of 2. Merck Manuals Professional Edition. Smoking, preeclampsiaprior abruption [2].

Placental abruption – Wikipedia

Personal information regarding our website’s visitors, including their identity, is confidential. One hundred and five births among which five twin pregnancies were included.

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Substances that increase risk of placental abruption include cocaine and tobacco when consumed during pregnancy, especially the third trimester.

Williams obstetrics 24th ed. Although the risk of placental abruption reto be eliminated, it can be reduced. When the placenta is separated, it is unable to exchange waste, nutrients, and oxygen, a necessary function for the fetus’s survival. The underlying cause is often unknown. Though the exact mechanism is not known, cocaine and tobacco cause systemic vasoconstriction, which can severely restrict the placental blood supply hypoperfusion and ischemiaor otherwise disrupt the vasculature of the placenta, causing tissue necrosis, bleeding, and therefore abruption.

Journal page Archives Contents list. Pregnancy with abortive outcome Ectopic pregnancy Abdominal pregnancy Cervical pregnancy Interstitial pregnancy Ovarian pregnancy Heterotopic pregnancy Molar pregnancy Miscarriage Stillbirth.

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Pathology of pregnancychildbirth and the puerperium O— The risk of placental abruption can be reduced by maintaining a good diet including taking folateregular sleep patterns and correction of pregnancy-induced hypertension. Access to the PDF text. Production of thrombin via massive bleeding causes the uterus to contract and leads to DIC. Placental abruption occurs in approximately 0.