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Is the perinatal outcome of placental abruption modified by clinical presentation?
Seishi Furukawa1, Hiroshi Sameshima, Tsuyomu Ikenoue
1Department of Obstetric & Gynecology, Faculty of Medicine, University of Miyazaki, Miyazaki 889-1692, Japan. snhm10@fc.miyazaki-u.ac.jp
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.
