[Clinical and morphological aspects of abruptio placentae with hemorrhagic shock]

Seven histories of deliveries, complicated with abruptio placentae with hemorrhagic shock, and fetal autopsy protocols were examined, while the placentas and the uteri, removed at surgery were studied morphologically. Pregnancy had been complicated by gestosis in all patients. Placental abruption developed by 35-37 weeks of pregnancy in 5 patients, and near term in 2. All patients underwent urgent cesarean section followed by supravaginal amputation and extirpation of the uterus. Uterine, placental and fetal morphologic changes were qualified as shock-related. It is concluded that progressive abruptio placentae is an indication for abdominal delivery.