[Abruptio placentae].

Abstract : Retroplacental haematoma (RPH) is a complication affecting 0.25 to 0.4% of all pregnancies and 4% of severe PEs. It is of acute onset, usually unpredictable and its symptoms are not specific: Isolated metrorrhagia, foetal distress, uterine hypertonicity. Clinical, biological and sonographic features suggesting a RPH can be early or late. Haemoconcentration and the forming of notches on Doppler examination of the uterus can appear weeks before the event, whereas raised D-Dimers and foetal tachycardia are identified within days of the event. Although Caesarian section reduces the perinatal death rate by 20 to 50% in a setting of RPH with a live foetus, vaginal delivery is indicated in cases of RPH with fetal demise, following the control of haemorrhagic shock, clotting disorders and uterine hypotonicity.
Type de document :
Article dans une revue
Annales Françaises d'Anesthésie et de Réanimation, Elsevier Masson, 2010, 29 (5), pp.e115-9. 〈10.1016/j.annfar.2010.03.011〉
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Contributeur : Ghislaine Calvez <>
Soumis le : mercredi 14 mars 2012 - 11:57:57
Dernière modification le : mercredi 10 janvier 2018 - 14:42:02

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Caroline Bohec, Michel Collet. [Abruptio placentae].. Annales Françaises d'Anesthésie et de Réanimation, Elsevier Masson, 2010, 29 (5), pp.e115-9. 〈10.1016/j.annfar.2010.03.011〉. 〈hal-00678947〉

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