On reducing the frequency of severe abruptio placentae

Jack A. Pritchard, F. Gary Cunningham, Signe A. Pritchard, Ruble A. Mason

Research output: Contribution to journalArticle

47 Scopus citations

Abstract

At Parkland Memorial Hospital the frequency of abruptio placentae so severe as to kill the fetus has decreased from 1 in 420 deliveries during 1956 through 1969 to 1 in 830 during 1974 through 1989. Major factors in this reduction were elimination of very high parity and a marked increase in the percentage of Latin American women, in whom the risk was 1 in 1473 deliveries compared with 1 in 595 for black women and 1 in 876 for white women. Abdominal trauma was encountered rarely, as was fetoplacental-to-maternal hemorrhage sufficient to impair fetal perfusion seriously. Abnormal development of Mullerian ducts and uterine myomas were encountered rarely. Neither red blood cell macrocytosis characteristic of folate deficiency nor iron deficiency could be implicated in the genesis of severe abruptio placentae. Abruptio placentae recurred in 12% of subsequent pregnancies and proved fatal to the fetus in 7%, unchanged from our earlier experience.

Original languageEnglish (US)
Pages (from-to)1345-1351
Number of pages7
JournalAmerican journal of obstetrics and gynecology
Volume165
Issue number4
DOIs
StatePublished - Jan 1 1991

Keywords

  • Severe abruptio placentae
  • high parity and abruptio placentae
  • race and abruptio placentae
  • recurring abruptio placentae

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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