What is considered severe placental abruption?

Severe placental abruption was defined as a delivery with an abruption accompanied by ≥1 of the following maternal, fetal, or neonatal complications. Maternal complications included disseminated intravascular coagulation, hypovolemic shock, blood transfusion, hysterectomy, renal failure, and in-hospital death.

What is occult placental abruption?

In such cases, the blood remains “concealed” and is retained between the detached placenta and the uterus. So-called “concealed” or “occult” placental abruptions require prompt and careful diagnosis and the expeditious implementation of medical treatment to reduce both maternal and fetal risks of injury and death.

How do you classify placental abruption?

How is abruptio placentae classified?

1. Class 0 – Asymptomatic.
2. Class 1 – Mild (represents approximately 48% of all cases)
3. Class 2 – Moderate (represents approximately 27% of all cases)
4. Class 3 – Severe (represents approximately 24% of all cases)

What are the two types of placental abruption?

There are two main types of placental abruption:

• Revealed – bleeding tracks down from the site of placental separation and drains through the cervix. This results in vaginal bleeding.
• Concealed – the bleeding remains within the uterus, and typically forms a clot retroplacentally.

What does placental abruption feel like?

The main symptom of placental abruption is vaginal bleeding. You also may have discomfort and tenderness or sudden, ongoing belly or back pain. Sometimes, these symptoms may happen without vaginal bleeding because the blood is trapped behind the placenta.

Can stress cause a placental abruption?

Background. Prenatal psychological stress may increase the risk of placental abruption (PA).

What is the most common cause of placental abruption?

The cause of placental abruption is often unknown. Possible causes include trauma or injury to the abdomen — from an auto accident or fall, for example — or rapid loss of the fluid that surrounds and cushions the baby in the uterus (amniotic fluid).

Does heavy lifting cause placental abruption?

The results suggest more frequent lifting of heavy objects by housewives than by employed mothers, leading to increased complications such as reduced amniotic fluid, placental abruption, and low birth weight.