Furuhashi M, Kurauchi O, Suganuma N
Department of Obstetrics and Gynecology, Handa City Hospital, Aichi, Japan.
Arch Gynecol Obstet. 2002 Nov;267(1):11-3. doi: 10.1007/s004040100227.
The aim of the present study by a retrospective chart review was to examine the recurrence rate after placental abruption. Between 1985 and 1998, 81 patients had a placental abruption. We had 2-year follow-up information about 31 patients and 27 of them had a total of 34 subsequent pregnancies. Recurrent placental abruption was observed in 6 pregnancies in 6 patients (6/27, 22.2%). Of the 6 recurrent placental abruptions, the gestational age was 1-3 weeks earlier than that of previous abruption in 4 patients. One patient delivered a healthy baby after her first abruption and then experienced a second abruption. We conclude that careful management is needed after 30 weeks in pregnant women with a previous history of placental abruption.
本研究旨在通过回顾性病历审查，探讨胎盘早剥后的复发率。1985年至1998年间，81例患者发生胎盘早剥。我们获得了31例患者的2年随访信息，其中27例患者随后共有34次妊娠。6例患者的6次妊娠中观察到复发性胎盘早剥（6/27，22.2%）。在这6例复发性胎盘早剥中，4例患者的孕周比前次早剥时提前1 - 3周。1例患者首次早剥后分娩了一个健康婴儿，随后又经历了一次早剥。我们得出结论，有胎盘早剥病史的孕妇在孕30周后需要进行仔细管理。
