Is the Perinatal Outcome of Placental Abruption Modified by Clinical Presentation?

Objective. The purpose of this study was to elucidate the impact of the clinical presentation on perinatal outcome in placental abruption. Study Design. A retrospective study was performed in 97 placental abruptions. Placental abruptions were classified according to clinical presentation: pregnancy...

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Main Authors: Seishi Furukawa, Hiroshi Sameshima, Tsuyomu Ikenoue, Masanao Ohashi, Yoshio Nagai
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Journal of Pregnancy
Online Access:http://dx.doi.org/10.1155/2011/659615
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author Seishi Furukawa
Hiroshi Sameshima
Tsuyomu Ikenoue
Masanao Ohashi
Yoshio Nagai
author_facet Seishi Furukawa
Hiroshi Sameshima
Tsuyomu Ikenoue
Masanao Ohashi
Yoshio Nagai
author_sort Seishi Furukawa
collection DOAJ
description Objective. The purpose of this study was to elucidate the impact of the clinical presentation on perinatal outcome in placental abruption. Study Design. A retrospective study was performed in 97 placental abruptions. Placental abruptions were classified according to clinical presentation: pregnancy-induced hypertension (HT, n=22), threatened premature labor and/or premature rupture of membranes (TPL/ROM, n=35), clinically low risk (LR, n=27), and others (n=13). Perinatal outcomes were compared among the HT, TPL/ROM, and LR groups. Results. The HT had significantly higher incidence of IUGR, IFUD, and low fibrinogen. The TPL/ROM had less severe disease. However, the LR had significantly higher incidence of IUFD, low UA pH < 7.1, low Apgar score of <7 at 5 min, and low fibrinogen. Conclusion. Disease severity in placental abruption is likely to depend on the clinical presentation.
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series Journal of Pregnancy
spelling doaj-art-bc7b09db0866416e9c85a63bc24a6f932025-08-20T02:18:34ZengWileyJournal of Pregnancy2090-27272090-27352011-01-01201110.1155/2011/659615659615Is the Perinatal Outcome of Placental Abruption Modified by Clinical Presentation?Seishi Furukawa0Hiroshi Sameshima1Tsuyomu Ikenoue2Masanao Ohashi3Yoshio Nagai4Department of Obstetric & Gynecology, Faculty of Medicine, University of Miyazaki, Miyazaki 889-1692, JapanDepartment of Obstetric & Gynecology, Faculty of Medicine, University of Miyazaki, Miyazaki 889-1692, JapanDepartment of Obstetric & Gynecology, Faculty of Medicine, University of Miyazaki, Miyazaki 889-1692, JapanDepartment of Obstetric & Gynecology, Miyazaki Medical Association Hospital, Miyazaki 889-1692, JapanDepartment of Obstetric & Gynecology, Miyazaki Medical Association Hospital, Miyazaki 889-1692, JapanObjective. The purpose of this study was to elucidate the impact of the clinical presentation on perinatal outcome in placental abruption. Study Design. A retrospective study was performed in 97 placental abruptions. Placental abruptions were classified according to clinical presentation: pregnancy-induced hypertension (HT, n=22), threatened premature labor and/or premature rupture of membranes (TPL/ROM, n=35), clinically low risk (LR, n=27), and others (n=13). Perinatal outcomes were compared among the HT, TPL/ROM, and LR groups. Results. The HT had significantly higher incidence of IUGR, IFUD, and low fibrinogen. The TPL/ROM had less severe disease. However, the LR had significantly higher incidence of IUFD, low UA pH < 7.1, low Apgar score of <7 at 5 min, and low fibrinogen. Conclusion. Disease severity in placental abruption is likely to depend on the clinical presentation.http://dx.doi.org/10.1155/2011/659615
spellingShingle Seishi Furukawa
Hiroshi Sameshima
Tsuyomu Ikenoue
Masanao Ohashi
Yoshio Nagai
Is the Perinatal Outcome of Placental Abruption Modified by Clinical Presentation?
Journal of Pregnancy
title Is the Perinatal Outcome of Placental Abruption Modified by Clinical Presentation?
title_full Is the Perinatal Outcome of Placental Abruption Modified by Clinical Presentation?
title_fullStr Is the Perinatal Outcome of Placental Abruption Modified by Clinical Presentation?
title_full_unstemmed Is the Perinatal Outcome of Placental Abruption Modified by Clinical Presentation?
title_short Is the Perinatal Outcome of Placental Abruption Modified by Clinical Presentation?
title_sort is the perinatal outcome of placental abruption modified by clinical presentation
url http://dx.doi.org/10.1155/2011/659615
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