Clinical management and outcome of pregnancies complicated by previous abruption

We studied the clinical management and prognosis of pregnant women with a history of abruption, as well as the associated risk factors.

We reviewed the cases of 23 patients with a history of abruption and 66 patients with abruption.

The recurrence rate of abruption was 4.3%. Intentional care prolonged gestational age in most patients. Although the incidence of abruption was low (0.44%), the consequences could be perinatal death and maternal disseminated vascular coagulation (DIC).

To prevent abruption recurrence, careful monitoring during hospitalization is important. Both clinical findings and transabdominal echography are useful in diagnosing abruption.