Placental abruption risk factors

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Cafer Zorkun M.D., PhD. Rana aljebzi, M.D.[2]

Risk Factors[1]

  • Maternal hypertension is a factor in 44% of all abruptions.
  • Maternal trauma, such as motor vehicle accidents, assaults, falls, or nosocomial
  • Drug use is a factor, particularly tobacco, alcohol, and cocaine.[2]
  • Short umbilical cord
  • Prolonged rupture of membranes (>24 hours)
  • Retroplacental fibromyoma
  • Maternal age: Pregnant women who are younger than 20 or older than 35 are at greater risk.
  • Previous abruption: Women who have had an abruption in previous pregnancies are at greater risk.[3]

The risk of placental abruption can be reduced by maintaining a good diet including taking folic acid, regular sleep patterns and not smoking or drinking alcohol.

References

  1. Cheng WW, Lin SQ (2008). "[Analysis of risk factors for uteroplacental apoplexy complicating placental abruption]". Zhonghua Fu Chan Ke Za Zhi. 43 (8): 593–6. PMID 19087494.
  2. Ananth CV, Savitz DA, Luther ER (1996). "Maternal cigarette smoking as a risk factor for placental abruption, placenta previa, and uterine bleeding in pregnancy". Am J Epidemiol. 144 (9): 881–9. doi:10.1093/oxfordjournals.aje.a009022. PMID 8890666.
  3. Yang Q, Wen SW, Oppenheimer L, Chen XK, Black D, Gao J; et al. (2007). "Association of caesarean delivery for first birth with placenta praevia and placental abruption in second pregnancy". BJOG. 114 (5): 609–13. doi:10.1111/j.1471-0528.2007.01295.x. PMID 17355267.

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