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Obstetrics
Diagnosis
Placenta, Membranes, and Umbilical Cord
Placenta and Membrane Abnormalities
Placental Abruption
Placental Abruption
Roya Sohaey, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Abbreviations

              • Placental abruption (PA)

            • Synonyms

              • Abruptio placentae
              • Subchorionic hemorrhage in 2nd or 3rd trimester

            • Definitions

              • Partial or total premature detachment of placenta

            IMAGING

            • General Features

              • Ultrasonographic Findings

                • Imaging Recommendations

                  DIFFERENTIAL DIAGNOSIS

                    PATHOLOGY

                    • General Features

                      • Staging, Grading, & Classification

                        • Gross Pathologic & Surgical Features

                          CLINICAL ISSUES

                          • Presentation

                            • Demographics

                              • Natural History & Prognosis

                                • Treatment

                                  DIAGNOSTIC CHECKLIST

                                  • Consider

                                    • Image Interpretation Pearls

                                      • Reporting Tips

                                        Selected References

                                        1. Kasai M et al: Prediction of perinatal outcomes based on primary symptoms in women with placental abruption. J Obstet Gynaecol Res. 41(6):850-6, 2015
                                        2. Parker SE et al: Placental abruption and subsequent risk of pre-eclampsia: a population-based case-control study. Paediatr Perinat Epidemiol. 29(3):211-9, 2015
                                        3. Ruiter L et al: Incidence and recurrence rate of placental abruption: a longitudinal linked national cohort study in the Netherlands. Am J Obstet Gynecol. 213(4):573, 2015
                                        4. Blumenfeld YJ et al: Association between maternal characteristics, abnormal serum aneuploidy analytes, and placental abruption. Am J Obstet Gynecol. 211(2):144.e1-9, 2014
                                        5. Boisramé T et al: Placental abruption: risk factors, management and maternal-fetal prognosis. Cohort study over 10 years. Eur J Obstet Gynecol Reprod Biol. 179:100-4, 2014
                                        6. Tikkanen M: Etiology, clinical manifestations, and prediction of placental abruption. Acta Obstet Gynecol Scand. 89(6):732-40, 2010
                                        7. Yang Q et al: Comparison of maternal risk factors between placental abruption and placenta previa. Am J Perinatol. 26(4):279-86, 2009
                                        8. Sinha P et al: Ante-partum haemorrhage: an update. J Obstet Gynaecol. 28(4):377-81, 2008
                                        9. Ananth CV et al: Placental abruption in the United States, 1979 through 2001: temporal trends and potential determinants. Am J Obstet Gynecol. 192(1):191-8, 2005
                                        10. Hoffman R et al: Thrombophilia related issues in women and children. Semin Thromb Hemost. 31(1):97-103, 2005
                                        11. Schiff MA et al: Pregnancy outcomes following hospitalization for motor vehicle crashes in Washington State from 1989 to 2001. Am J Epidemiol. 161(6):503-10, 2005
                                        12. Broers T et al: The occurrence of abruptio placentae in Canada: 1990 to 1997. Chronic Dis Can. 25(2):16-20, 2004
                                        13. Toivonen S et al: Obstetric prognosis after placental abruption. Fetal Diagn Ther. 19(4):336-41, 2004
                                        14. Kayani SI et al: Pregnancy outcome in severe placental abruption. BJOG. 110(7):679-83, 2003
                                        15. Glantz C et al: Clinical utility of sonography in the diagnosis and treatment of placental abruption. J Ultrasound Med. 21(8):837-40, 2002
                                        16. Sheiner E et al: Incidence, obstetric risk factors and pregnancy outcome of preterm placental abruption: a retrospective analysis. J Matern Fetal Neonatal Med. 11(1):34-9, 2002
                                        17. Kramer MS et al: Etiologic determinants of abruptio placentae. Obstet Gynecol. 89(2):221-6, 1997
                                        18. Nyberg DA et al: Sonographic spectrum of placental abruption. AJR Am J Roentgenol. 148(1):161-4, 1987
                                        Related Anatomy
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                                        Related Differential Diagnoses
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                                        References
                                        Tables

                                        Tables

                                        KEY FACTS

                                        • Terminology

                                          • Imaging

                                            • Top Differential Diagnoses

                                              • Clinical Issues

                                                • Diagnostic Checklist

                                                  TERMINOLOGY

                                                  • Abbreviations

                                                    • Placental abruption (PA)

                                                  • Synonyms

                                                    • Abruptio placentae
                                                    • Subchorionic hemorrhage in 2nd or 3rd trimester

                                                  • Definitions

                                                    • Partial or total premature detachment of placenta

                                                  IMAGING

                                                  • General Features

                                                    • Ultrasonographic Findings

                                                      • Imaging Recommendations

                                                        DIFFERENTIAL DIAGNOSIS

                                                          PATHOLOGY

                                                          • General Features

                                                            • Staging, Grading, & Classification

                                                              • Gross Pathologic & Surgical Features

                                                                CLINICAL ISSUES

                                                                • Presentation

                                                                  • Demographics

                                                                    • Natural History & Prognosis

                                                                      • Treatment

                                                                        DIAGNOSTIC CHECKLIST

                                                                        • Consider

                                                                          • Image Interpretation Pearls

                                                                            • Reporting Tips

                                                                              Selected References

                                                                              1. Kasai M et al: Prediction of perinatal outcomes based on primary symptoms in women with placental abruption. J Obstet Gynaecol Res. 41(6):850-6, 2015
                                                                              2. Parker SE et al: Placental abruption and subsequent risk of pre-eclampsia: a population-based case-control study. Paediatr Perinat Epidemiol. 29(3):211-9, 2015
                                                                              3. Ruiter L et al: Incidence and recurrence rate of placental abruption: a longitudinal linked national cohort study in the Netherlands. Am J Obstet Gynecol. 213(4):573, 2015
                                                                              4. Blumenfeld YJ et al: Association between maternal characteristics, abnormal serum aneuploidy analytes, and placental abruption. Am J Obstet Gynecol. 211(2):144.e1-9, 2014
                                                                              5. Boisramé T et al: Placental abruption: risk factors, management and maternal-fetal prognosis. Cohort study over 10 years. Eur J Obstet Gynecol Reprod Biol. 179:100-4, 2014
                                                                              6. Tikkanen M: Etiology, clinical manifestations, and prediction of placental abruption. Acta Obstet Gynecol Scand. 89(6):732-40, 2010
                                                                              7. Yang Q et al: Comparison of maternal risk factors between placental abruption and placenta previa. Am J Perinatol. 26(4):279-86, 2009
                                                                              8. Sinha P et al: Ante-partum haemorrhage: an update. J Obstet Gynaecol. 28(4):377-81, 2008
                                                                              9. Ananth CV et al: Placental abruption in the United States, 1979 through 2001: temporal trends and potential determinants. Am J Obstet Gynecol. 192(1):191-8, 2005
                                                                              10. Hoffman R et al: Thrombophilia related issues in women and children. Semin Thromb Hemost. 31(1):97-103, 2005
                                                                              11. Schiff MA et al: Pregnancy outcomes following hospitalization for motor vehicle crashes in Washington State from 1989 to 2001. Am J Epidemiol. 161(6):503-10, 2005
                                                                              12. Broers T et al: The occurrence of abruptio placentae in Canada: 1990 to 1997. Chronic Dis Can. 25(2):16-20, 2004
                                                                              13. Toivonen S et al: Obstetric prognosis after placental abruption. Fetal Diagn Ther. 19(4):336-41, 2004
                                                                              14. Kayani SI et al: Pregnancy outcome in severe placental abruption. BJOG. 110(7):679-83, 2003
                                                                              15. Glantz C et al: Clinical utility of sonography in the diagnosis and treatment of placental abruption. J Ultrasound Med. 21(8):837-40, 2002
                                                                              16. Sheiner E et al: Incidence, obstetric risk factors and pregnancy outcome of preterm placental abruption: a retrospective analysis. J Matern Fetal Neonatal Med. 11(1):34-9, 2002
                                                                              17. Kramer MS et al: Etiologic determinants of abruptio placentae. Obstet Gynecol. 89(2):221-6, 1997
                                                                              18. Nyberg DA et al: Sonographic spectrum of placental abruption. AJR Am J Roentgenol. 148(1):161-4, 1987