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Epidemiology, Risk Factors, and Perinatal Outcomes of Placental Abruption—Detailed Annual Data and Clinical Perspectives from Polish Tertiary Center

Placental abruption (PA) is a separation of the placenta from the uterine wall occurring with the fetus still present in the uterine cavity. It contributes to numerous neonatal and maternal complications, increasing morbidity and mortality. We conducted a retrospective study at a tertiary perinatal...

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Autores principales: Bączkowska, Monika, Kosińska-Kaczyńska, Katarzyna, Zgliczyńska, Magdalena, Brawura-Biskupski-Samaha, Robert, Rebizant, Beata, Ciebiera, Michał
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9101673/
https://www.ncbi.nlm.nih.gov/pubmed/35564543
http://dx.doi.org/10.3390/ijerph19095148
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author Bączkowska, Monika
Kosińska-Kaczyńska, Katarzyna
Zgliczyńska, Magdalena
Brawura-Biskupski-Samaha, Robert
Rebizant, Beata
Ciebiera, Michał
author_facet Bączkowska, Monika
Kosińska-Kaczyńska, Katarzyna
Zgliczyńska, Magdalena
Brawura-Biskupski-Samaha, Robert
Rebizant, Beata
Ciebiera, Michał
author_sort Bączkowska, Monika
collection PubMed
description Placental abruption (PA) is a separation of the placenta from the uterine wall occurring with the fetus still present in the uterine cavity. It contributes to numerous neonatal and maternal complications, increasing morbidity and mortality. We conducted a retrospective study at a tertiary perinatal care center, which included 2210 cases of labor that took place in 2015 with a PA occurrence of 0.7%. No maternal or fetal death during delivery was reported in this period. The identified PA risk factors were uterine malformations, pPROM, placenta previa spectrum, and oligohydramnios. The significant maternal PA complications identified were maternal anemia, uterine rupture, and HELLP syndrome. Preterm delivery occurred significantly more often in the PA group, and the number of weeks of pregnancy and the birth weight at delivery were both significantly lower in the PA group. PA is a relatively rare perinatal complication with very serious consequences, and it still lacks effective prophylaxis and treatment. Despite its rare occurrence, each center should develop a certain strategy for dealing with this pathology or predicting which patients are at risk. Much work is still needed to ensure the proper care of the mother and the baby in this life-threatening condition.
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spelling pubmed-91016732022-05-14 Epidemiology, Risk Factors, and Perinatal Outcomes of Placental Abruption—Detailed Annual Data and Clinical Perspectives from Polish Tertiary Center Bączkowska, Monika Kosińska-Kaczyńska, Katarzyna Zgliczyńska, Magdalena Brawura-Biskupski-Samaha, Robert Rebizant, Beata Ciebiera, Michał Int J Environ Res Public Health Article Placental abruption (PA) is a separation of the placenta from the uterine wall occurring with the fetus still present in the uterine cavity. It contributes to numerous neonatal and maternal complications, increasing morbidity and mortality. We conducted a retrospective study at a tertiary perinatal care center, which included 2210 cases of labor that took place in 2015 with a PA occurrence of 0.7%. No maternal or fetal death during delivery was reported in this period. The identified PA risk factors were uterine malformations, pPROM, placenta previa spectrum, and oligohydramnios. The significant maternal PA complications identified were maternal anemia, uterine rupture, and HELLP syndrome. Preterm delivery occurred significantly more often in the PA group, and the number of weeks of pregnancy and the birth weight at delivery were both significantly lower in the PA group. PA is a relatively rare perinatal complication with very serious consequences, and it still lacks effective prophylaxis and treatment. Despite its rare occurrence, each center should develop a certain strategy for dealing with this pathology or predicting which patients are at risk. Much work is still needed to ensure the proper care of the mother and the baby in this life-threatening condition. MDPI 2022-04-23 /pmc/articles/PMC9101673/ /pubmed/35564543 http://dx.doi.org/10.3390/ijerph19095148 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Bączkowska, Monika
Kosińska-Kaczyńska, Katarzyna
Zgliczyńska, Magdalena
Brawura-Biskupski-Samaha, Robert
Rebizant, Beata
Ciebiera, Michał
Epidemiology, Risk Factors, and Perinatal Outcomes of Placental Abruption—Detailed Annual Data and Clinical Perspectives from Polish Tertiary Center
title Epidemiology, Risk Factors, and Perinatal Outcomes of Placental Abruption—Detailed Annual Data and Clinical Perspectives from Polish Tertiary Center
title_full Epidemiology, Risk Factors, and Perinatal Outcomes of Placental Abruption—Detailed Annual Data and Clinical Perspectives from Polish Tertiary Center
title_fullStr Epidemiology, Risk Factors, and Perinatal Outcomes of Placental Abruption—Detailed Annual Data and Clinical Perspectives from Polish Tertiary Center
title_full_unstemmed Epidemiology, Risk Factors, and Perinatal Outcomes of Placental Abruption—Detailed Annual Data and Clinical Perspectives from Polish Tertiary Center
title_short Epidemiology, Risk Factors, and Perinatal Outcomes of Placental Abruption—Detailed Annual Data and Clinical Perspectives from Polish Tertiary Center
title_sort epidemiology, risk factors, and perinatal outcomes of placental abruption—detailed annual data and clinical perspectives from polish tertiary center
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9101673/
https://www.ncbi.nlm.nih.gov/pubmed/35564543
http://dx.doi.org/10.3390/ijerph19095148
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