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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Hématome rétroplacentaire | Blausen Medical
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Placental abruption occurs in approximately 0. Top of the page – Article Outline. Common symptoms include sudden-onset abdominal pain, contractions that seem continuous and do not stop, vaginal bleeding, enlarged uterus disproportionate to the gestational age of the fetus, decreased fetal movement, and decreased fetal heart rate. Perinatal mortality mainly occurs in utero. History of placental abruption or previous Caesarian section increases the risk by a factor of 2.
Gary Cunningham, Kenneth J. Caesarean section carries an increased risk in cases of disseminated intravascular coagulation.
Although the risk of placental abruption cannot be eliminated, it can be reduced. The fetus dies when it no longer receives enough oxygen and nutrients to survive. Acute fatty liver of pregnancy Gestational diabetes Hepatitis E Hyperemesis gravidarum Intrahepatic cholestasis of pregnancy. 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.
For small abruption bed rest may be recommended while for more significant abruptions or those that occur near term, delivery may be recommended. You can move this window by clicking on the headline. Abruptio placentae, Third trimester bleeding, Pre-eclampsia, Post-partum haemorrhage, Maternal morbidity, Perinatal mortality, Premature rupture of membranes.
Concomitant conditions Diabetes mellitus Systemic lupus erythematosus Thyroid disorders Maternal death Sexual activity during pregnancy. A retrospective observational study has been conducted on consecutive cases of abruptio placentae, occurring from January to Junein the two maternity units of the University Hospital of Strasbourg France.
Placental abruption is a serious and unpredictable situation. Placental abruption Synonyms Abruptio placentae Drawing of internal and external bleeding from placental abruption Specialty Obstetrics Symptoms Vaginal bleedinglow abdominal paindangerously low blood pressure  Complications Mother: Sixty-seven patients gave birth prematurely. Staying away from activities which have a high risk of physical trauma is hematom important. Access to the full text of this article requires a subscription.
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. Drawing of internal and external bleeding from placental abruption.
The underlying cause is often unknown. Outcomes for the baby also depend on the gestational age. Ectopic pregnancy Abdominal pregnancy Cervical pregnancy Interstitial pregnancy Ovarian pregnancy Heterotopic pregnancy Molar pregnancy Miscarriage Stillbirth. Bed restdelivery .
This page was last edited on 23 Augustat If you are a subscriber, please sign in ‘My Account’ at the top right of the screen. Placental abruption is when the placenta separates early from the uterusin other words separates before childbirth. Access to the text HTML.
Mean date of childbirth rftro 33 weeks of amenorrhea and 6 days. Anatomical risk factors include uncommon uterine anatomy e. Substances that increase risk of placental abruption include cocaine and tobacco when consumed during pregnancy, especially the third trimester.
Pregnancy with abortive outcome Ectopic pregnancy Hsmatome pregnancy Cervical pregnancy Interstitial pregnancy Ovarian pregnancy Heterotopic pregnancy Molar pregnancy Miscarriage Stillbirth.
In the vast majority of cases, placental abruption is caused by the maternal vessels tearing away from the placentaiire basalisnot the fetal vessels. You may thus request that your data, should placenraire be inaccurate, incomplete, unclear, outdated, not be used or stored, be corrected, clarified, updated or deleted.
Those abruptions caused by venous bleeding at the periphery of the placenta develop more slowly and cause small amounts of bleeding, intrauterine growth restrictionand oligohydramnios low levels of amniotic fluid. If the fetus is less than 36 eetro and neither mother or fetus is in any distress, then they may simply be monitored in hospital until a change in condition or fetal maturity whichever comes first.
Without any form of medical intervention, as often happens in many parts of the world, placental abruption has a high maternal mortality rate. D ICD – Journal of Perinatal Medicine. Health issues in pregnancy.