| Expectant management after sonographic diagnosis of placental abruption. | |
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MedLine Citation:
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PMID: 1575837 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Forty cases of placental abruption were diagnosed by sonography after 20 weeks' gestation and managed expectantly. Tocolytics were used in 18 patients and were successful in delaying delivery for 34 +/- 24 days in 10. One-third of the patients delivered at term, after delays of 12.3 +/- 5.7 weeks. The majority of the patients who delivered before term (63%) had at least one other risk factor for preterm delivery, such as twins, ruptured membranes, or cervical dilation at presentation. Preterm delivery was not correlated with any of several clinical indicators of the severity of the abruption. Although the perinatal mortality rate was 22%, all perinatal deaths except one were attributable to extreme prematurity. It concluded that mild placental abruption is often a self-limited event and can safely be managed expectantly. Most of the perinatal morbidity and mortality is associated with premature delivery and, thus, in the absence of fetal distress or maternal compromise, delivery may often be delayed until fetal maturity is attained. |
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Authors:
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C A Combs; D A Nyberg; L A Mack; J R Smith; T J Benedetti |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: American journal of perinatology Volume: 9 ISSN: 0735-1631 ISO Abbreviation: Am J Perinatol Publication Date: 1992 May |
Date Detail:
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Created Date: 1992-06-11 Completed Date: 1992-06-11 Revised Date: 2005-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8405212 Medline TA: Am J Perinatol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 170-4 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynecology, University of Washington School of Medicine, Seattle. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Abruptio Placentae
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epidemiology,
therapy*,
ultrasonography Adult Delivery, Obstetric Female Humans Infant, Newborn Infant, Premature, Diseases / epidemiology Obstetric Labor, Premature / epidemiology, prevention & control Pregnancy Pregnancy Outcome / epidemiology* Pregnancy, Multiple Risk Factors Tocolytic Agents / therapeutic use* Ultrasonography, Prenatal* |
| Chemical | |
Reg. No./Substance:
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0/Tocolytic Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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