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Results for “ABRUPTIO PLACENTAE”

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At least 1,603 records · Page 89Linked to original sources
PubMed2000

Predictors of outcome in trauma during pregnancy: identification of patients who can be monitored for less than 6 hours.

BACKGROUND: The first objective of this study was to identify risk factors in pregnant patients suffering blunt trauma predictive for uterine contractions, preterm labor, or fetal loss. The second objective was to identify patients who can safely undergo fetal monitoring for 6 hours or less after blunt trauma by selecting out those patients demonstrating the identified risk factors. METHODS: A retrospective chart review was performed from January 1, 1990, through December 31, 1998. Charts were reviewed for numerous possible risk factors for adverse outcomes. Statistical analysis was performed by using logistic regression. RESULTS: A total of 271 pregnant patients admitted after blunt trauma were identified. Risk factors significantly predictive of fetal death included ejections, motorcycle and pedestrian collisions, maternal death, maternal tachycardia, abnormal fetal heart rate, lack of restraints, and Injury Severity Score > 9. Risk factors significantly predictive of contractions or preterm labor included gestational age >35 weeks, assaults, and pedestrian collisions. CONCLUSION: Pregnant patients who present after blunt trauma with any of the identified risk factors for contractions, preterm labor, or fetal loss should be monitored for at least 24 hours. Patients without these risk factors can safely be monitored for 6 hours after trauma before discharge.

Abruptio Placentae↗
PubMed2002

The injury severity score in pregnant trauma patients: predicting placental abruption and fetal death.

BACKGROUND: The Injury Severity Score (ISS) is the national standard for injury severity assessment but has been rarely validated in the pregnant population. METHODS: We evaluated 294 pregnant women who were hospitalized for injury in Washington State from 1989 to 1997. We used ICDMAP-90 computer software to assign an ISS to all women. We identified injured pregnant women who experienced a placental abruption or a fetal death using the Washington State delivery hospitalization data and the birth certificate or fetal death records. We evaluated the accuracy of the ISS in predicting these adverse outcomes using sensitivity analysis. RESULTS: We found that the ISS was not accurate in predicting placental abruption and fetal death. We also found that relatively minor injuries were associated with adverse pregnancy outcomes. CONCLUSION: A more comprehensive injury assessment tool is needed to accurately predict adverse outcomes in the pregnant trauma population.

Abruptio Placentae↗
PubMed1985

Disseminated intravascular coagulation--the clinician's dilemma.

Disseminated intravascular coagulation is a complex syndrome involving inappropriate activation of the coagulation and subsequently fibrinolytic systems. It may occur in conjunction with a variety of disease states. The diagnosis must be based on a series of laboratory tests which provide indirect evidence of the process. Treatment consists of general supportive measures and elimination of the activating source of the coagulopathy. Additional therapy is dictated by individual circumstances.

Abortion, Induced↗
PubMed2002

Placental abruption.

UNLABELLED: Placental abruption complicates approximately 1% to 2% of all pregnancies and remains a significant cause of both maternal and fetal morbidity. Proposed pathophysiology of both acute placental abruption and the more common partial placental separation are discussed. The contribution of placental abruption to both preterm labor and preterm premature rupture of membranes is discussed. Recent evidence supporting maternal hypertensive disorders, maternal tobacco and cocaine use, age and parity, multiple gestations, maternal thrombophilias, and an unexplained elevated maternal serum alphafetoprotein as risk factors for abruption is reviewed. Emergency management of acute abruption is outlined. Finally, particular emphasis is given to the management of partial placental separation, including both immediate and delayed delivery and the use of tocolysis. TARGET AUDIENCE: Obstetricians and Gynecologists, Family Physicians. LEARNING OBJECTIVES: After completion of this article, the reader will be able to define the condition of placental abruption, list the conditions associated with abruption, and outline potential management options for patients with placental abruption.

Abruptio Placentae↗