Know the basics
What is abruptio placentae?
Placental abruption, also known as abruptio placentae, is the premature detachment of the placenta. It is a serious complication of pregnancy but uncommon. The placenta develops during pregnancy to nourish the growing baby. During an abruption, the placenta peels away from the inner wall of the uterus before delivery. It can be subdivided into 3 types known as grades I, II, and III, which range from mild to severe.
A placenta that separates from the uterine wall cannot be reattached. This will limit the amount of oxygen and nutrients to the baby and heavy bleeding for the mother. These serious complications may lead to early cesarean delivery. The placental abruption usually happens suddenly and requires immediate medical attention.
How common is abruptio placentae?
Placental abruption is uncommon but very serious. Pregnant women are more at risk during their 3rd trimester but can get it after week 20. Only about 1% of all pregnant women will experience a placental abruption. Please discuss with your doctor for further information.
Know the symptoms
What are the symptoms of abruptio placentae?
Common symptoms of placental abruption may include:
- Uterine bleeding, abnormal uterine contractions, and fetal distress as based on checking the fetal heart.
- Painful contractions.
- Fatigue, low blood pressure, fast heart rate, stomach pain, and back pain.
Also, depending on the severity of placental abruption (grade I, II, III), the symptoms can be different:
- Grade 1: light bleeding from the vagina, uterus contractions are mild, stable vital signs, and fetal heart rate steady. Normal clotting tests.
- Grade 2: moderate bleeding, abnormal contractions, low blood pressure, fetal distress, and coagulation abnormalities.
- Grade 3: This is the most severe. This phenomenon appears with strong bleeding and contractions, low blood pressure, fetal death, and difficult clotting.
There may be some symptoms not listed above. If you have any concerns about a symptom, please consult your doctor.
When should I see my doctor?
You should contact your doctor and get immediate medical attention, if you have any of the following:
- Vaginal bleeding;
- Abdominal pain;
- Back pain ;
- Uterine spasm continuously.
Know the causes
What causes abruptio placentae?
Major cause of placental abruption is not well defined, but not hereditary.
Trauma during pregnancy can cause placental abruption:
- Trauma affects directly in the abdomen (due to falls, car accidents, by being hit or fall when working);
- Affected by needle stick wounds on misplaced placenta, bleeding, hematoma formed after each other cause flaking.
If external cephalic tips of obstetricians and technical incorrect, it can also lead to the risk of placental abruption in patients.
Know the risk factors
What increases my risk for abruptio placentae?
There are many risk factors for placental abruption, such as:
- History of having placental abruption: If you have ever experienced a placental abruption during your past pregnancies, you are at risk for having it with your next pregnancy.
- High blood pressure: High blood pressure increases the risk of placental abruption in women.
- Abdominal trauma: Injury to your abdomen (ex: accidents) increases the risk of placental abruption.
- Substance abuse: Placental abruptions will more likely occur if you smoke or use cocaine during pregnancy.
- Premature rupture of amniotic sac: During pregnancy, the fetus is surrounded by a protective layer called an amniotic sac. The risk of placental abruption increases if the amniotic sac breaks before labor begins.
- Blood clot disorders: Any condition that affects blood clotting ability, all increase the risk of placental abruption.
- Multiple pregnancies: If you are carrying twins or triplets, the first birth can lead to changes in the uterus, causing placental abruption before giving birth of the second baby.
- Your age: placental abruption is more common in older women, especially after 40 years.
Understand the diagnosis & treatment
The information provided is not a substitute for any medical advice. ALWAYS consult with your doctor for more information.
How is abruptio placentae diagnosed?
Placental abruption disease can be diagnosed in several ways:
- Medical history;
- Physical examination;
- Blood tests and other laboratory tests.
How is abruptio placentae treated?
The treatment takes place in a hospital. A medical team of doctors and nurses will have to stabilize your situation first. You will be given some fluids and injections to stabilize blood pressure and maintain a steady flow of urine. In urgent cases, doctors will deliver you baby caesarean baby or blood transfusions. Most full term baby have different status in light bubble can have naturally giving birth, but need a pediatric specialist.
Lifestyle changes & home remedies
What are some lifestyle changes or home remedies that can help me manage abruptio placentae?
If you have any questions, please consult with your doctor to better understand the best solution for you.
Hello Health Group does not provide medical advice, diagnosis or treatment.
Review Date: May 30, 2016 | Last Modified: January 4, 2017