Mei Youwen, Lin Yonghong
a Department of Obstetrics and Gynecology , Chengdu Women and Children's Central Hospital , Chengdu , Sichuan Province , China.
J Matern Fetal Neonatal Med. 2018 Sep;31(18):2446-2449. doi: 10.1080/14767058.2017.1344830. Epub 2017 Jul 6.
To evaluate the clinical significance of primary symptoms in women with placental abruption.
A retrospective study of 273 cases of placental abruption was performed. The subjects were classified into two groups according to primary symptoms: 210 cases of the vaginal bleeding group and 63 cases of the abdominal pain group. The clinical features, maternal and neonatal outcomes were compared between two groups.
The incidence of preeclampsia and preterm birth in the vaginal bleeding group was significantly lower than abdominal pain group, while the incidence of premature rupture of membrane (PROM) in the former group was higher than that in the latter group. Both fetal and maternal outcomes were significantly poorer in the abdominal pain group than in the vaginal bleeding group in terms of rate of abnormal fetal heart monitoring (FHR), concealed abruption, abruption area over 50%, uteroplacental apoplexy, volume of postpartum hemorrhage, rate of blood transfusion, neonatal asphyxia and acidemia.
Primary symptoms of placental abruption were associated with preterm birth, preeclampsia and PROM, which could predict pregnancy outcomes effectively.
评估胎盘早剥女性主要症状的临床意义。
对273例胎盘早剥病例进行回顾性研究。根据主要症状将研究对象分为两组：阴道出血组210例和腹痛组63例。比较两组的临床特征、母婴结局。
阴道出血组子痫前期和早产的发生率显著低于腹痛组，而胎膜早破（PROM）的发生率高于腹痛组。在胎儿心率异常监测（FHR）率、隐性早剥、早剥面积超过50%、子宫胎盘卒中、产后出血量、输血率、新生儿窒息和酸血症方面，腹痛组的胎儿和母亲结局均显著差于阴道出血组。
胎盘早剥的主要症状与早产、子痫前期和胎膜早破相关，可有效预测妊娠结局。
