Placental abruption occurs in about 1 in 200 pregnancies.[5] Along with placenta previa and uterine rupture it is one of the most common causes of vaginal bleeding in the later part of pregnancy.[6] Placental abruption is the reason for about 15% of infant deaths around the time of birth.[2] The condition was described at least as early as 1664.[7]
In the early stages of placental abruption, there may be no symptoms.[1] When symptoms develop, they tend to develop suddenly. Common symptoms include:
A placental abruption caused by arterial bleeding at the center of the placenta leads to sudden development of severe symptoms and life-threatening conditions including fetal heart rate abnormalities, severe maternal hemorrhage, and disseminated intravascular coagulation (DIC). Those abruptions caused by venous bleeding at the periphery of the placenta develop more slowly and cause small amounts of bleeding, intrauterine growth restriction, and oligohydramnios (low levels of amniotic fluid).[9]
Maternal age: pregnant women who are younger than 20 or older than 35 are at greater risk
Risk factors for placental abruption include disease, trauma, history, anatomy, and exposure to substances. The risk of placental abruption increases sixfold after severe maternal trauma. Anatomical risk factors include uncommon uterine anatomy (e.g. bicornuate uterus), uterine synechiae, and leiomyoma. Substances that increase risk of placental abruption include cocaine and tobacco when consumed during pregnancy, especially the third trimester. History of placental abruption or previous Caesarian section increases the risk by a factor of 2.3.[11][13][14][15][9]
In the vast majority of cases, placental abruption is caused by the maternal vessels tearing away from the decidua basalis, not the fetal vessels. The underlying cause is often unknown. A small number of abruptions are caused by trauma that stretches the uterus. Because the placenta is less elastic than the uterus, it tears away when the uterine tissue stretches suddenly. 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. Cocaine use during the third trimester has a 10% chance of causing abruption. Though the exact mechanism is not known, cocaine and tobacco cause systemic vasoconstriction, which can severely restrict the placental blood supply (hypoperfusion and ischemia), or otherwise disrupt the vasculature of the placenta, causing tissue necrosis, bleeding, and therefore abruption.[9]
In most cases, placental disease and abnormalities of the spiral arteries develop throughout the pregnancy and lead to necrosis, inflammation, vascular problems, and ultimately, abruption. Because of this, most abruptions are caused by bleeding from the arterial supply, not the venous supply. Production of thrombin via massive bleeding causes the uterus to contract and leads to DIC.[9]
The accumulating blood pushes between the layers of the decidua, pushing the uterine wall and placenta apart. When the placenta is separated, it is unable to exchange waste, nutrients, and oxygen, a necessary function for the fetus's survival. The fetus dies when it no longer receives enough oxygen and nutrients to survive.[9]
Placental abruption is suspected when a pregnant mother has sudden localized abdominal pain with or without bleeding. The fundus may be monitored because a rising fundus can indicate bleeding. An ultrasound may be used to rule out placenta praevia but is not diagnostic for abruption.[8] 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.[5] Of note, use of magnetic resonance imaging has been found to be highly sensitive in depicting placental abruption, and may be considered if no ultrasound evidence of placental abruption is present, especially if the diagnosis of placental abruption would change management.[16]
Although the risk of placental abruption cannot be eliminated, it can be reduced. Avoiding tobacco, alcohol and cocaine during pregnancy decreases the risk. Staying away from activities which have a high risk of physical trauma is also important. Women who have high blood pressure or who have had a previous placental abruption and want to conceive must be closely supervised by a doctor.[17]
Treatment depends on the amount of blood loss and the status of the fetus.[19] If the fetus is less than 36 weeks, and neither mother or fetus are in any distress, then they may simply be monitored in hospital until a change in condition or fetal maturity whichever comes first.
Immediate delivery of the fetus may be indicated if the fetus is mature or if the fetus or mother is in distress. Blood volume replacement to maintain blood pressure and blood plasma replacement to maintain fibrinogen levels may be needed. Vaginal birth is usually preferred over Caesarean section unless there is fetal distress. Caesarean section carries an increased risk in cases of disseminated intravascular coagulation. The mother should be monitored for 7 days for postpartum hemorrhage. Excessive bleeding from uterus may necessitate hysterectomy. The mother may be given Rhogam if she is Rh negative.
The prognosis of this complication depends on whether treatment is received by the patient, on the quality of treatment, and on the severity of the abruption. Outcomes for the baby also depend on the gestational age.[5]
In the Western world, maternal deaths due to placental abruption are rare. The fetal prognosis is worse than the maternal prognosis; approximately 12% of fetuses affected by placental abruption die. 77% of fetuses that die from placental abruption die before birth; the remainder die due to complications of preterm birth.[9]
Without any form of medical intervention, as often happens in many parts of the world, placental abruption has a high maternal mortality rate.[citation needed]
A severe case of shock may affect other organs, such as the liver, kidney, and pituitary gland. Diffuse cortical necrosis in the kidney is a serious and often fatal complication.[2]
Placental abruption may cause bleeding through the uterine muscle and into the mother's abdominal cavity, a condition called Couvelaire uterus.[20]
Placental abruption occurs in approximately 0.2–1% of all pregnancies.[8] Though different causes change when abruption is most likely to occur, the majority of placental abruptions occur before 37 weeks gestation, and 12–14% occur before 32 weeks gestation.[8][9]
^ abcdefghiSheffield, [edited by] F. Gary Cunningham, Kenneth J. Leveno, Steven L. Bloom, Catherine Y. Spong, Jodi S. Dashe, Barbara L. Hoffman, Brian M. Casey, Jeanne S. (2014). Williams obstetrics (24th ed.). McGraw-Hill Education. ISBN978-0071798938. {{cite book}}: |first1= has generic name (help)CS1 maint: multiple names: authors list (link)
^ abcAnanth, CV; Savitz, DA; Williams, MA (August 1996). "Placental abruption and its association with hypertension and prolonged rupture of membranes: a methodologic review and meta-analysis". Obstetrics and Gynecology. 88 (2): 309–18. doi:10.1016/0029-7844(96)00088-9. PMID8692522. S2CID21246925.
^Ananth, C (1999). "Incidence of placental abruption in relation to cigarette smoking and hypertensive disorders during pregnancy: A meta-analysis of observational studies". Obstetrics & Gynecology. 93 (4): 622–8. doi:10.1016/S0029-7844(98)00408-6. PMID10214847.
^Cressman, AM; Natekar, A; Kim, E; Koren, G; Bozzo, P (July 2014). "Cocaine abuse during pregnancy". Journal of Obstetrics and Gynaecology Canada. 36 (7): 628–31. doi:10.1016/S1701-2163(15)30543-0. PMID25184982.
^Klar, M; Michels, KB (September 2014). "Cesarean section and placental disorders in subsequent pregnancies--a meta-analysis". Journal of Perinatal Medicine. 42 (5): 571–83. doi:10.1515/jpm-2013-0199. PMID24566357. S2CID21151164.
^Masselli, G; Brunelli, R; Di Tola, M; Anceschi, M; Gualdi, G (April 2011). "MR imaging in the evaluation of placental abruption: correlation with sonographic findings". Radiology. 259 (1): 222–30. doi:10.1148/radiol.10101547. PMID21330568.
^Pitaphrom, A; Sukcharoen, N (October 2006). "Pregnancy outcomes in placental abruption". Journal of the Medical Association of Thailand = Chotmaihet Thangphaet. 89 (10): 1572–8. PMID17128829.