Background: Placental abruption commonly occurrs in the last months of pregnancy. The current, diagnosis and treatment method of placental abruption is considerably more improved thanks to medical advances. This is still a dangerous emergency in obstetrics, however, causing severe complications for maternal and high neonatal mortality. Objective: Describe some clinical and para-clinical characteristics of placental abruption at the National Hospital of Obstetrics and Gynecology from 01/01/2005 to 12/09/2006. Subject and methods: A retrospective cross sectional study is conducted on 30 patients with confirmed diagnosis of placental abruption after Cesarean section or delivery from 01/01/2005 to 12/09/2006. Results: Gestational age <34 weeks: 40%; 34-37 weeks: 40%; >37 weeks: 20%. Clinical signs: abdominal pain: 83.3%, vaginal bleeding: 60%, pre-eclampsia: 23.3%, shock: 3.3%, frequency of contractions: 74.1%, uterine hypertonus: 33.3%, uterine tetany: 36.7%, bloody amniotic fluid: 36.7%, fetal demise: 40%, fetal distress: 26.7%. Para-clinical signs: red blood cells <3 millions: 26.7%, heamoglobin <90g/l: 20.7%, fibrinogen <2g/l: 23.3%, retroplacental haematoma in ultrasound: 47.8%. Apoplexy lesions in the uterus: serious and extensive: 46.6%, mild: 26.7%, no lesion: 26.7%. Conclusions: Placental abruption often occurred in premature delivery, clinical signs have high diagnostic values, para-clinical signs have limited diagnostic values and in most of the cases have shown apoplexia lesions in the uterus.
placental abruption ; clinical signs ; para-clinical signs

No abstract available.
Abruptio Placentae* ; Female ; Pregnancy

No abstract available.
Abruptio Placentae* ; Female ; Pregnancy

No abstract available.
Abruptio Placentae* ; Female ; Pregnancy

A rare case of venomous snakebite is reported. Patient is a 35 year old woman with 6th pregnancy of 37-week gestational age. She was presented with a green pit viper snake bite on right foot associated with severe venom poisoning symptoms leading to fetal death and abruptio placentae, severe coagulation disorder with undetectable fibrinogen level. Blood transfusion, cesarean section and hysterectomy were done. After operation, patient’s clinical status was relatively stable but bleeding persisted 6 days after snakebite. Blood coagulation was only improved after administration of 3 doses of specific antivenomous sera
Abruptio Placentae ; Snakes

A retrospective study on abruptio placenta was conducted at the Institute for the Protection of Mother and Newborn. Seventy-one among 40,962 deliveries between 1995 and 1999 were defined as abruptio placenta, giving a rate of 0.17%. Of the abruptio placenta cases, moderate and severe conditions were more common, accounting for 73.2%. A majority of the abruptio placenta cases (88.7%) was managed by cesarean section. Hysterectomy accounted for 33.8% among abruptio placenta cases. The study showed that obstetrical intervention of choice in the moderate and severe conditions is cesarean section.
Abruptio Placentae ; Vietnam

No abstract available.
Abruptio Placentae* ; Female ; Pregnancy ; Risk Factors*

The syndrome of diffuse intravascular coagulation or DIC was related with high perinatal mortality & morbidity. One of the most common cause of clinically significant DIC is placental abruption Usually, DIC complicates this obstetrical accident in approximately 30% of cases. The majority of placental abruption occured late pregnancy. But, recently we have experienced a case of DIC in a patient with placental abruption in 16 weeks of gestationl age and reviewed it briefly
Abruptio Placentae* ; Dacarbazine ; Female ; Gestational Age* ; Humans ; Perinatal Mortality ; Pregnancy

The syndrome of diffuse intravascular coagulation or DIC was related with high perinatal mortality & morbidity. One of the most common cause of clinically significant DIC is placental abruption Usually, DIC complicates this obstetrical accident in approximately 30% of cases. The majority of placental abruption occured late pregnancy. But, recently we have experienced a case of DIC in a patient with placental abruption in 16 weeks of gestationl age and reviewed it briefly
Abruptio Placentae* ; Dacarbazine ; Female ; Gestational Age* ; Humans ; Perinatal Mortality ; Pregnancy

Placental abruption is defined as the early separation a normal placenta from the wall of the uterus before delivery of the fetus. The incidence of it is known 1% of all pregnancies and perinatal mortality rates from abruption range from 20% to 40% in recent studies. The most common symptom is vaginal bleeding. The causes are associated with preeclampsia, other hypertensive disorders, and premature rupture of membranes. It is diagnosed by clinical symptom, sign, and ultrasonography. Recently we have experienced a case of placental abruption diagnosed at 31 weeks by ultrasonography in bicornuate uterus with a brief review of the literature.
Abruptio Placentae ; Female ; Fetus ; Incidence ; Membranes ; Perinatal Mortality ; Placenta ; Pre-Eclampsia ; Pregnancy ; Rupture ; Uterine Hemorrhage ; Uterus