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Placental abruption

Última revisão: 20 Aug 2025
Última atualização: 17 Jul 2024

Resumo

Definição

História e exame físico

Principais fatores diagnósticos

  • vaginal bleeding
  • abdominal pain
  • uterine contractions
  • uterine tenderness
Detalhes completos

Outros fatores diagnósticos

  • lower back pain
  • fetal death
Detalhes completos

Fatores de risco

  • chronic hypertension
  • preeclampsia
  • smoking
  • cocaine use
  • trauma
  • prior cesarean delivery
  • preterm premature rupture of the membranes
  • multiparity
  • advanced maternal age
  • polyhydramnios
  • chorioamnionitis
  • uterine malformations
  • prior placental abruption
  • multifetal gestations
  • oligohydramnios
  • uterine leiomyomas
  • thrombophilias
Detalhes completos

Investigações diagnósticas

Primeiras investigações a serem solicitadas

  • fetal monitoring
  • Hb and hematocrit
  • coagulation studies
  • Kleihauer-Betke (K-B) test
  • ultrasound
Detalhes completos

Investigações a serem consideradas

  • placental pathology
Detalhes completos

Algoritmo de tratamento

Inicial

all patients

AGUDA

live fetus: >34 weeks

live fetus: ≤34 weeks

fetal demise

Colaboradores

Autores

Yinka Oyelese, MD, FACOG
Yinka Oyelese

Director, Obstetric Imaging

Beth Israel Deaconess Medical Center

Harvard Medical School

Boston

MA

Declarações

YO is an author of a number of references cited in this topic.

Anthony M. Vintzileos, MD, FACOG
Anthony M. Vintzileos

Chairman

Department of Obstetrics and Gynecology

Winthrop University Hospital

Mineola

Professor

Obstetrics, Gynecology, and Reproductive Medicine

Stony Brook School of Medicine

Stony Brook

NY

Declarações

AMV declares that he has no competing interests.

Revisores

Christopher Glantz, MD, MPH

Professor of Obstetrics and Gynecology

University of Rochester School of Medicine

Rochester

New York

NY

Раскрытие информации

CG declares that he has no competing interests.

Austin Ugwumadu, PhD, FRCOG

Consultant/Senior Lecturer in Obstetrics and Gynaecology

St George's Hospital

London

UK

Раскрытие информации

AU declares that he has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

Список литературы

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Основные статьи

American College of Radiology. ACR appropriateness criteria: second and third trimester bleeding. 2020 [internet publication].Полный текст

Society for Maternal-Fetal Medicine (SMFM), Gyamfi-Bannerman C. Society for Maternal-Fetal Medicine (SMFM) Consult Series #44: Management of bleeding in the late preterm period. Am J Obstet Gynecol. 2018 Jan;218(1):B2-8.Полный текст  Аннотация

Статьи, указанные как источники

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.

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