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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Sixty caesareans were performed in emergency before labor, including 47 with general anesthesia. The accumulating blood pushes between the layers of the decidua, pushing the uterine wall and placenta apart.

Amniotic fluid embolism Cephalopelvic disproportion Dystocia Shoulder dystocia Fetal distress Locked twins Obstetrical bleeding Postpartum Pain management during childbirth placenta Placenta accreta Preterm birth Postmature birth Umbilical cord prolapse Uterine inversion Uterine rupture Vasa praevia. Bed restdelivery [1].

Hématome rétroplacentaire

Perinatal mortality mainly occurs in utero. Ectopic pregnancy Abdominal pregnancy Cervical pregnancy Interstitial pregnancy Ovarian pregnancy Heterotopic pregnancy Molar pregnancy Miscarriage Stillbirth. Access to the full text of this article requires a subscription. Retrieved from ” https: Production of thrombin via massive bleeding causes the uterus to contract and leads to DIC.

Placental abruption is when the placenta separates early from the uterusin other words separates before childbirth. An ultrasound may be used to rule out placenta praevia but is not diagnostic for abruption. Mean date of childbirth was 33 weeks of amenorrhea and 6 days. Pathology of pregnancy hemtaome, childbirth and the puerperium O— Joint medical care of obstetricians and hematoem is often required.


Acta Obstetricia et Gynecologica Scandinavica. History of placental abruption or previous Caesarian section increases the risk by a factor of 2. The underlying cause is often unknown. Clinical features and diagnosis”. Outcomes for the baby also depend on the gestational age. Women who have high blood pressure or who have had a previous placental abruption and want to conceive must be closely supervised by a doctor. Anatomical risk factors include uncommon uterine anatomy e.

Fritz aE. Substances that increase risk of placental abruption include cocaine and tobacco when consumed during pregnancy, especially the third trimester.

Placental abruption

The diagnosis is one of exclusion, meaning other possible sources of vaginal bleeding or abdominal pain have to be ruled out in order to diagnose placental abruption. Vaginal birth is usually heamtome over Caesarean section unless there is fetal distress. Views Read Edit View history. Retrieved 9 December As heatome the Law relating to information storage and placejtaire integrity, you have the right to oppose art 26 of that lawaccess art 34 of that law and rectify art 36 of that law your personal data.

One hundred and five births among which five twin pregnancies were included. Because the placenta is less elastic than the uterus, it tears away when the uterine tissue stretches suddenly. Aissi bR. Without any form of medical intervention, as often happens in many parts of the world, placental abruption has a high maternal mortality rate. There was no maternal death.

Use of aspirin before 16 weeks of pregnancy to prevent placentaide also appears effective at preventing placental abruption. Gary Cunningham, Kenneth J. Journal page Archives Contents list. People should be monitored for 7 days for postpartum hemorrhage.


Placental abruption occurs in about 1 in pregnancies. Smoking, preeclampsiaprior abruption [2].

Placental abruption – Wikipedia

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Among them, 50 patients delivered before 34 weeks. Caesarean section carries an increased risk in cases of disseminated intravascular coagulation.

To update knowledge on placental abruption because placenyaire are few recent series published although the perinatal care has progressed. Sixty-seven patients gave birth prematurely. A small number of abruptions are caused by trauma that stretches the uterus.

Williams obstetrics 24th ed. Because of this, most abruptions are caused by bleeding from the arterial supply, not the venous supply. The risk of placental abruption can be reduced by maintaining a good diet including taking folateregular sleep patterns and correction of pregnancy-induced hypertension.

Journal of Obstetrics and Gynaecology Canada. When anatomical risk factors are present, the placenta does not attach in a place that provides adequate support, and it may not develop appropriately or be separated as it grows. The risk of placental abruption increases sixfold after severe maternal trauma.