IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i9p5148-d800618.html
   My bibliography  Save this article

Epidemiology, Risk Factors, and Perinatal Outcomes of Placental Abruption—Detailed Annual Data and Clinical Perspectives from Polish Tertiary Center

Author

Listed:
  • Monika Bączkowska

    (Center of Postgraduate Medical Education, Second Department of Obstetrics and Gynecology, 01-813 Warsaw, Poland)

  • Katarzyna Kosińska-Kaczyńska

    (Center of Postgraduate Medical Education, Second Department of Obstetrics and Gynecology, 01-813 Warsaw, Poland)

  • Magdalena Zgliczyńska

    (Center of Postgraduate Medical Education, Second Department of Obstetrics and Gynecology, 01-813 Warsaw, Poland)

  • Robert Brawura-Biskupski-Samaha

    (Center of Postgraduate Medical Education, Second Department of Obstetrics and Gynecology, 01-813 Warsaw, Poland)

  • Beata Rebizant

    (Center of Postgraduate Medical Education, Second Department of Obstetrics and Gynecology, 01-813 Warsaw, Poland)

  • Michał Ciebiera

    (Center of Postgraduate Medical Education, Second Department of Obstetrics and Gynecology, 01-813 Warsaw, Poland)

Abstract

Placental abruption (PA) is a separation of the placenta from the uterine wall occurring with the fetus still present in the uterine cavity. It contributes to numerous neonatal and maternal complications, increasing morbidity and mortality. We conducted a retrospective study at a tertiary perinatal care center, which included 2210 cases of labor that took place in 2015 with a PA occurrence of 0.7%. No maternal or fetal death during delivery was reported in this period. The identified PA risk factors were uterine malformations, pPROM, placenta previa spectrum, and oligohydramnios. The significant maternal PA complications identified were maternal anemia, uterine rupture, and HELLP syndrome. Preterm delivery occurred significantly more often in the PA group, and the number of weeks of pregnancy and the birth weight at delivery were both significantly lower in the PA group. PA is a relatively rare perinatal complication with very serious consequences, and it still lacks effective prophylaxis and treatment. Despite its rare occurrence, each center should develop a certain strategy for dealing with this pathology or predicting which patients are at risk. Much work is still needed to ensure the proper care of the mother and the baby in this life-threatening condition.

Suggested Citation

  • Monika Bączkowska & Katarzyna Kosińska-Kaczyńska & Magdalena Zgliczyńska & Robert Brawura-Biskupski-Samaha & Beata Rebizant & Michał Ciebiera, 2022. "Epidemiology, Risk Factors, and Perinatal Outcomes of Placental Abruption—Detailed Annual Data and Clinical Perspectives from Polish Tertiary Center," IJERPH, MDPI, vol. 19(9), pages 1-14, April.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:9:p:5148-:d:800618
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/9/5148/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/19/9/5148/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Oonagh E Keag & Jane E Norman & Sarah J Stock, 2018. "Long-term risks and benefits associated with cesarean delivery for mother, baby, and subsequent pregnancies: Systematic review and meta-analysis," PLOS Medicine, Public Library of Science, vol. 15(1), pages 1-22, January.
    2. Marc A Rodger & Marisol T Betancourt & Peter Clark & Pelle G Lindqvist & Donna Dizon-Townson & Joanne Said & Uri Seligsohn & Marc Carrier & Ophira Salomon & Ian A Greer, 2010. "The Association of Factor V Leiden and Prothrombin Gene Mutation and Placenta-Mediated Pregnancy Complications: A Systematic Review and Meta-analysis of Prospective Cohort Studies," PLOS Medicine, Public Library of Science, vol. 7(6), pages 1-12, June.
    3. Shannon M. Melody & Karen Wills & Luke D. Knibbs & Jane Ford & Alison Venn & Fay Johnston, 2020. "Maternal Exposure to Ambient Air Pollution and Pregnancy Complications in Victoria, Australia," IJERPH, MDPI, vol. 17(7), pages 1-12, April.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Jessie A Morgan & Sarah Bombell & William McGuire, 2013. "Association of Plasminogen Activator Inhibitor-Type 1 (-675 4G/5G) Polymorphism with Pre-Eclampsia: Systematic Review," PLOS ONE, Public Library of Science, vol. 8(2), pages 1-9, February.
    2. Aneta Słabuszewska-Jóźwiak & Jacek Krzysztof Szymański & Michał Ciebiera & Beata Sarecka-Hujar & Grzegorz Jakiel, 2020. "Pediatrics Consequences of Caesarean Section—A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 17(21), pages 1-17, October.
    3. Shelly Jun & Kelsea Drall & Brittany Matenchuk & Cara McLean & Charlene Nielsen & Chinwe V. Obiakor & Aaron Van der Leek & Anita Kozyrskyj, 2018. "Sanitization of Early Life and Microbial Dysbiosis," Challenges, MDPI, vol. 9(2), pages 1-9, December.
    4. Taja Bracic & Isabella Pfniß & Nadja Taumberger & Kaltrina Kutllovci-Hasani & Daniela Ulrich & Wolfgang Schöll & Philipp Reif, 2020. "A 10 year comparative study of caesarean deliveries using the Robson 10 group classification system in a university hospital in Austria," PLOS ONE, Public Library of Science, vol. 15(10), pages 1-11, October.
    5. David Card & Alessandra Fenizia & David Silver, 2023. "The Health Impacts of Hospital Delivery Practices," American Economic Journal: Economic Policy, American Economic Association, vol. 15(2), pages 42-81, May.
    6. Ana Costa-Ramón & Mika Kortelainen & Ana Rodríguez-González & Lauri Sääksvuori, 2022. "The Long-Run Effects of Cesarean Sections," Journal of Human Resources, University of Wisconsin Press, vol. 57(6), pages 2048-2085.
    7. Gwinyai Masukume & Ali S Khashan & Susan M B Morton & Philip N Baker & Louise C Kenny & Fergus P McCarthy, 2019. "Caesarean section delivery and childhood obesity in a British longitudinal cohort study," PLOS ONE, Public Library of Science, vol. 14(10), pages 1-13, October.
    8. Valentin Nicolae Varlas & Roxana Georgiana Borș & Mihaela Plotogea & Madalina Iordache & Claudia Mehedințu & Monica Mihaela Cîrstoiu, 2023. "Thromboprophylaxis in Pregnant Women with COVID-19: An Unsolved Issue," IJERPH, MDPI, vol. 20(3), pages 1-19, January.
    9. Maria Healy & Viola Nyman & Dale Spence & René H J Otten & Corine J Verhoeven, 2020. "How do midwives facilitate women to give birth during physiological second stage of labour? A systematic review," PLOS ONE, Public Library of Science, vol. 15(7), pages 1-19, July.
    10. Lenore Manderson & Fiona C. Ross, 2020. "Publics, technologies and interventions in reproduction and early life in South Africa," Palgrave Communications, Palgrave Macmillan, vol. 7(1), pages 1-9, December.
    11. Azahara María García-Serna & Elena Martín-Orozco & Trinidad Hernández-Caselles & Eva Morales, 2021. "Prenatal and Perinatal Environmental Influences Shaping the Neonatal Immune System: A Focus on Asthma and Allergy Origins," IJERPH, MDPI, vol. 18(8), pages 1-24, April.
    12. Gabriela Martins Costa Gomes & Wilfried Karmaus & Vanessa E. Murphy & Peter G. Gibson & Elizabeth Percival & Philip M. Hansbro & Malcolm R. Starkey & Joerg Mattes & Adam M. Collison, 2021. "Environmental Air Pollutants Inhaled during Pregnancy Are Associated with Altered Cord Blood Immune Cell Profiles," IJERPH, MDPI, vol. 18(14), pages 1-16, July.
    13. R. Padmasaranya & Kaviya.M & G.Shravanthi & Vadivelan.K, 2020. "To Find the Quality of Life in Multiparae Women Who Have Undergone Multiple C-Section," International Journal of Research and Scientific Innovation, International Journal of Research and Scientific Innovation (IJRSI), vol. 7(3), pages 113-114, March.
    14. Amal Rammah & Kristina W. Whitworth & Christopher I. Amos & Marisa Estarlich & Mònica Guxens & Jesús Ibarluzea & Carmen Iñiguez & Mikel Subiza-Pérez & Martine Vrijheid & Elaine Symanski, 2021. "Air Pollution, Residential Greenness and Metabolic Dysfunction during Early Pregnancy in the INfancia y Medio Ambiente (INMA) Cohort," IJERPH, MDPI, vol. 18(17), pages 1-12, September.
    15. Rubén Aragón-Martín & María del Mar Gómez-Sánchez & David Jiménez-Pavón & José Manuel Martínez-Nieto & Mónica Schwarz-Rodríguez & Carmen Segundo-Iglesias & José Pedro Novalbos-Ruiz & María José Santi-, 2021. "A Multimodal Intervention for Prevention of Overweight and Obesity in Schoolchildren. A Protocol Study “PREVIENE-CÁDIZ”," IJERPH, MDPI, vol. 18(4), pages 1-19, February.
    16. Shuqin Zeng & Dhrati Patangia & Alexandre Almeida & Zhemin Zhou & Dezhi Mu & R. Paul Ross & Catherine Stanton & Shaopu Wang, 2022. "A compendium of 32,277 metagenome-assembled genomes and over 80 million genes from the early-life human gut microbiome," Nature Communications, Nature, vol. 13(1), pages 1-15, December.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:9:p:5148-:d:800618. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.