Request PDF on ResearchGate | Hématome rétroplacentaire: aspects épidémiocliniques et pronostiques à propos d’une série de cas | Objective. Aspects épidémiologiques, pronostiques et thérapeutiques de l’hématome retro placentaire (HRP) dans une maternité de référence en zone rurale. Ousmane. L’HEMATOME RETRO-PLACENTAIRE. I – Etiologies II – Etude clinique III – Les complications IV – Le traitement. Définition. Décollement.

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Joint medical care of obstetricians and intensivists is often required. For small abruption bed rest may be recommended while for more significant abruptions or those that occur near term, delivery may be recommended.

Placental abruption occurs in approximately 0.

Williams obstetrics 24th ed. Fritz aE. If the fetus is less than 36 weeks and neither mother or fetus is in any distress, then they may simply be monitored in hospital until a change in condition or fetal maturity whichever retfo first. Gary Cunningham, Kenneth J.

Hématome rétroplacentaire | Blausen Medical

If you want to subscribe to this journal, see our rates You can purchase this item in Pay Per View: In most cases, placental disease and abnormalities of the spiral arteries develop throughout the pregnancy and lead to necrosis, inflammation, vascular problems, and ultimately, abruption. Journal of Obstetrics and Gynaecology Canada.

Use of aspirin before 16 weeks of pregnancy to prevent pre-eclampsia also appears effective at preventing placental abruption. Placenta previabloody showchorioamnionitis [3].

The fundus may be monitored because a rising fundus can indicate bleeding. People should jematome monitored for 7 days for postpartum hemorrhage. Common symptoms include sudden-onset abdominal pain, contractions that seem continuous and do not stop, vaginal bleeding, enlarged uterus disproportionate to the gestational age of the fetus, decreased fetal movement, and decreased fetal heart rate.


Smoking, preeclampsiaprior abruption [2]. American Journal of Obstetrics and Gynecology.

Retrieved from ” https: A small number of abruptions are caused by trauma that stretches the uterus. The diagnosis is one of hekatome, meaning other possible sources of vaginal bleeding or abdominal pain have to be ruled out in order to diagnose placental abruption. Production of thrombin via massive bleeding causes the uterus to contract and leads to DIC. Among them, 50 patients delivered before 34 weeks.

Hématome rétroplacentaire

Placental abruption is suspected when a pregnant mother has sudden localized abdominal pain with or without bleeding.

By using this pladentaire, you agree to the Terms of Use and Privacy Policy. One hundred and five births among which five twin pregnancies were included.

Views Read Edit View history. Retrieved 9 December A retrospective observational study has been conducted on consecutive cases of abruptio placentae, occurring from January to Junein the two maternity units of the University Hospital of Strasbourg France. Vaginal bleedinglow abdominal paindangerously low blood pressure [1].

Concomitant conditions Diabetes mellitus Systemic lupus erythematosus Thyroid disorders Maternal death Sexual activity during pregnancy. This page was last edited on 23 Augustat Anatomical risk factors include uncommon uterine anatomy e. Acute fatty liver of pregnancy Gestational diabetes Hepatitis E Hyperemesis gravidarum Intrahepatic cholestasis of pregnancy.

In the Western world, maternal deaths due to placental abruption are rare. Journal page Archives Contents list. Those abruptions caused by venous bleeding at the periphery of the placenta develop more slowly hhematome cause small amounts of bleeding, intrauterine growth restrictionand oligohydramnios low levels of amniotic fluid.

Blood volume replacement to maintain blood pressure and blood plasma replacement to maintain fibrinogen levels may be needed. As per the Law relating to information storage and personal integrity, you have the right to oppose art 26 reto that plaecntaireaccess art 34 of that law and rectify art 36 of hemztome law your personal data.


Abruptio placentae, Third trimester bleeding, Pre-eclampsia, Post-partum haemorrhage, Maternal morbidity, Perinatal mortality, Premature rupture of membranes. To update knowledge on placental abruption because there are few recent series published although the perinatal care has progressed. Although the risk of placental abruption cannot be eliminated, it can be reduced. Placental abruption Synonyms Abruptio placentae Drawing of internal and external bleeding from placental abruption Specialty Obstetrics Symptoms Vaginal bleedinglow abdominal paindangerously low blood pressure [1] Complications Mother: Based on symptoms, ultrasound [1].

You may thus request that your data, should it be inaccurate, incomplete, unclear, outdated, not be used or stored, be corrected, clarified, updated or deleted. D ICD – Perinatal mortality mainly occurs in utero. A meta-analysis of observational studies”. Twelve patients had post-partum haemorrhage and ten coagulation disorders. Caesarean section carries an increased risk in cases of disseminated intravascular coagulation. Personal information regarding our website’s visitors, including their identity, is confidential.

Avoiding tobacco, alcohol and cocaine during pregnancy decreases the risk. Because of this, most abruptions are caused by bleeding from the arterial supply, not the venous supply. The prognosis of this complication depends on whether treatment is received by the patient, on the quality of treatment, and on the severity of the abruption.

The mother may be given Rhogam if she is Rh negative. Health issues in pregnancy. A retrospective study of cases. In the early stages of placental abruption, there may be no symptoms.