Request PDF on ResearchGate | Hématome rétroplacentaire: aspects épidémiocliniques et pronostiques à propos d’une série de cas | Objective. Aspects épidémiologiques, pronostiques et thérapeutiques de l’hématome retro placentaire (HRP) dans une maternité de référence en zone rurale. Ousmane. L’HEMATOME RETRO-PLACENTAIRE. I – Etiologies II – Etude clinique III – Les complications IV – Le traitement. Définition. Décollement.

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When anatomical risk factors are present, the placenta rrtro not attach in a place that provides adequate support, and it may not develop appropriately or be separated as it grows. Merck Manuals Professional Edition. Diagnosis, management and maternal-fetal prognosis: History of placental abruption or previous Caesarian section increases the rwtro by a factor of 2.

People should be monitored for 7 days for postpartum hemorrhage. Viville aG. A small number of abruptions are caused by trauma that stretches the uterus. The accumulating blood pushes between the layers of the decidua, pushing the uterine wall and placenta apart.

Retrieved from ” https: Common symptoms include sudden-onset abdominal pain, contractions that seem continuous and do not stop, vaginal bleeding, enlarged uterus disproportionate to the gestational age of the fetus, decreased fetal movement, and decreased fetal heart rate. Gestational pemphigoid Impetigo herpetiformis Intrahepatic cholestasis of pregnancy Linea nigra Prurigo gestationis Pruritic folliculitis of pregnancy Pruritic urticarial papules and plaques of pregnancy PUPPP Striae gravidarum.


A meta-analysis of observational studies”. Placental abruption Synonyms Abruptio placentae Drawing of internal and external bleeding from placental abruption Specialty Obstetrics Symptoms Vaginal bleedinglow abdominal paindangerously low blood pressure [1] Complications Mother: Pregnancy with abortive outcome Ectopic pregnancy Abdominal pregnancy Cervical pregnancy Interstitial pregnancy Ovarian pregnancy Heterotopic pregnancy Molar pregnancy Miscarriage Stillbirth.

You can move this window by clicking on the headline. The fetus dies when it no longer receives enough oxygen and nutrients to survive.

Staying away from activities which have a high risk of physical trauma is also important. Health issues in pregnancy. The mother may be given Rhogam if she is Rh negative. Although the risk of placental abruption cannot be eliminated, it can be reduced.

Hématome rétroplacentaire

Placental abruption occurs in approximately 0. Access to the PDF text. Danforth’s Obstetrics and Gynecology. Women who have high blood pressure or who have had a previous placental abruption and want to conceive must be closely supervised by a doctor. Substances that increase risk of placental abruption include cocaine and tobacco when consumed during pregnancy, especially the third trimester.

Use of aspirin before 16 weeks of pregnancy to prevent pre-eclampsia also appears effective at preventing placental abruption. This page was last edited on 23 Augustat Journal of Obstetrics and Gynaecology Canada. Retrieved 9 December Without any form of medical intervention, as often happens in many parts of the world, placental abruption has a high maternal mortality rate.

There placentarie no maternal death.

Caesarean section carries an increased risk in cases of disseminated intravascular coagulation. A placental abruption caused by arterial bleeding at the hematoke of the placenta leads to sudden development of severe symptoms and life-threatening conditions including fetal heart rate abnormalities, severe maternal hemorrhage, and disseminated intravascular coagulation DIC.


Clinical features and diagnosis”. Those abruptions caused by venous bleeding at the periphery of the placenta develop more slowly and cause small amounts of bleeding, intrauterine growth restrictionand oligohydramnios low levels of amniotic fluid. Smoking, preeclampsiaprior abruption [2]. A retrospective observational study has been conducted on consecutive cases of abruptio placentae, occurring from January to Junein the two maternity units of the University Hospital of Plaacentaire France.

An ultrasound placentaiire be used to rule out placenta praevia but is not diagnostic for abruption. Ectopic pregnancy Abdominal hejatome Cervical pregnancy Interstitial pregnancy Ovarian pregnancy Heterotopic pregnancy Molar pregnancy Miscarriage Stillbirth. Blood volume replacement to maintain blood pressure and blood plasma replacement to maintain fibrinogen levels may be needed. Placental abruption occurs in about 1 in pregnancies.


Sixty caesareans were performed in emergency before labor, including 47 with general anesthesia. Top of the page – Article Outline.

From Wikipedia, the free encyclopedia. Placental abruption is a serious and unpredictable situation.