Clinical management and outcome of pregnancies complicated by previous abruption.

作者信息

Sakikawa Makiko, Adachi Tomoko, Nakabayashi Yasushi, Matsui Daisuke, Urano Akiyoshi, Tang Xiaohui, Tsuruga Kaya, Kawana Yukiko, Takeda Yoshiharu, Nakayama Setsuko, Sakamoto Hideki, Nakabayashi Masao

机构信息

Department of Obstetrics and Gynecology, Aiiku Hospital, Maternal and Child Health Center, Tokyo, Japan.

出版信息

Hypertens Pregnancy. 2011;30(4):457-64. doi: 10.3109/10641955.2010.507835. Epub 2010 Dec 21.

DOI:10.3109/10641955.2010.507835

PMID:21174584

Abstract

OBJECTIVES

We studied the clinical management and prognosis of pregnant women with a history of abruption, as well as the associated risk factors.

METHODS

We reviewed the cases of 23 patients with a history of abruption and 66 patients with abruption.

RESULTS

The recurrence rate of abruption was 4.3%. Intentional care prolonged gestational age in most patients. Although the incidence of abruption was low (0.44%), the consequences could be perinatal death and maternal disseminated vascular coagulation (DIC).

CONCLUSION

To prevent abruption recurrence, careful monitoring during hospitalization is important. Both clinical findings and transabdominal echography are useful in diagnosing abruption.

摘要