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[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.
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Submitted on : Wednesday, March 14, 2012 - 11:57:57 AM
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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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