Naeye R L, Tafari N, Marboe C C
Acta Obstet Gynecol Scand. 1979;58(1):37-40. doi: 10.3109/00016347909154910.
Abruptio placentae was a common cause of perinatal death in Addis Ababa, Ethiopia in 1974-1975 with a frequency of 5.5/1000 births. This disorder had its peak frequency at term. No abnormalities were found in the placentas to explain the placental abruptions but there were other clues to their genesis. There was a strong association of the fatal abruptions with severe poverty in the mothers. These poor mothers were both undernourished and malnourished during pregnancy. Their fetuses and neonates who died had multiple evidences of undernutrition including a relative undergrowth of adrenals, spleens and livers and a relative acceleration of lung maturation. These findings support observations in more prosperous nations that poor nutrition of the gravida may have an important role in the genesis of abruptio placentae.
1974 - 1975年期间，胎盘早剥是埃塞俄比亚亚的斯亚贝巴围产期死亡的常见原因，发生率为每1000例分娩中有5.5例。这种疾病在足月时发病率最高。在胎盘中未发现异常以解释胎盘早剥，但有其他线索提示其发病原因。致命性胎盘早剥与母亲的严重贫困密切相关。这些贫困母亲在孕期既营养不足又营养不良。她们死亡的胎儿和新生儿有多种营养不良的迹象，包括肾上腺、脾脏和肝脏相对发育不全以及肺成熟相对加速。这些发现支持了在更富裕国家的观察结果，即孕妇营养不良可能在胎盘早剥的发病中起重要作用。
