Sakikawa Makiko, Adachi Tomoko, Nakabayashi Yasushi, Matsui Daisuke, Urano Akiyoshi, Tang Xiaohui, Tsuruga Kaya, Kawana Yukiko, Takeda Yoshiharu, Nakayama Setsuko, Sakamoto Hideki, Nakabayashi Masao
Department of Obstetrics and Gynecology, Aiiku Hospital, Maternal and Child Health Center, Tokyo, Japan.
Hypertens Pregnancy. 2011;30(4):457-64. doi: 10.3109/10641955.2010.507835. Epub 2010 Dec 21.
We studied the clinical management and prognosis of pregnant women with a history of abruption, as well as the associated risk factors.
We reviewed the cases of 23 patients with a history of abruption and 66 patients with abruption.
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).
To prevent abruption recurrence, careful monitoring during hospitalization is important. Both clinical findings and transabdominal echography are useful in diagnosing abruption.
