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Cited by 29Pregnancy and preeclampsia studiesMaternal and fetal healthcareNeurological Complications and Syndromes

The DOI matches its Crossref record; 21 of the 21 references it cites were found in a registry or an index.

Intra- versus retroplacental hematomas: a retrospective case-control study on pregnancy outcomes

Open access
Ott, Johannes, Pecnik, Philipp, Promberger, Regina, Pils, Sophie, Binder, Julia, Chalubinski, Kinga M.·2017·BMC Pregnancy and Childbirth
DOI 10.1186/s12884-017-1539-6PMC PMC5658933
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Abstract

BACKGROUND: Intrauterine hematomas are a common pregnancy complication. The literature lacks studies about outcomes based on hematoma localization. Thus, we aimed to compare pregnancies complicated by an intraplacental hematoma to cases with a retroplacental hematoma and to a control group. METHODS: In a retrospective case-control study, 32 women with an intraplacental hematoma, 199 women with a retroplacental hematoma, and a control group consisting of 113 age-matched women with no signs of placental abnormalities were included. Main outcome measures were pregnancy complications. RESULTS: Second-trimester miscarriage was most common in the intraplacental hematoma group (9.4%), followed by women with a retroplacental hematoma (4.2%), and controls (0%; p = 0.007). The intraplacental hematoma group revealed the highest rates for placental insufficiency, intrauterine growth retardation, premature preterm rupture of membranes, preterm labor, preterm delivery <37 weeks, and early preterm delivery <34 weeks (p < 0.05), followed by the retroplacental hematoma group. When tested in multivariate models, intraplacental hematomas were independent predictors for placental insufficiency (ß = 4.19, p < 0.001) and intrauterine growth restriction (ß = 1.44, p = 0.035). Intrauterine fetal deaths occurred only in women with a retroplacental hematoma (p = 0.042). CONCLUSIONS: Intra- and retroplacental hematomas have different risk profiles for the affected pregnancy and act as independent risk factors.

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  • Decidual bleeding that results in dissection and laceration along the decidual plane may lead to retroplacental, subchorionic, and subamniotic bleeding.

    “Decidual bleeding that results in dissection and laceration along the decidual plane may lead to retroplacental, subchorionic, and subamniotic bleeding (15).”

    From Placental abruption at near-term and term gestations: Pathophysiology, epidemiology, diagnosis, and management (2023) · cites this paper as [15]

    The Background (page unavailable) identifies retroplacental, subchorionic, and subamniotic hematomas as types of placental bleeding. The Discussion (page unavailable) says retroplacental bleeding may extend along the decidua basalis, but does not say that decidual bleeding dissects or lacerates the decidual plane to produce all three types. (LLM, conf=0.82)

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Research works printed but not linked: 2

  1. Kraus FT, Redline RW, Gersell DJ, Nelson DM, Dicke JM. Placental pathology. Atlas of non-tumor pathology; 2004. p. 117–57.
  2. Schaffer H, Steiner H, Staudach A. Reference values for qualitative and quantitative analysis of uterine, fetoplacental and fetal flow velocity waveforms. J Fertil Reprod. 1998;2:12–3.

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Metadata

Authors
Ott, J., Pecnik, P., Promberger, R., Pils, S., Binder, J., & Chalubinski, K. M.
Affiliations
  • Medical University of Vienna (AT)
  • Klinikum Wels-Grieskirchen (AT)
Corresponding author
Promberger, Regina
ORCID
Venue
BMC Pregnancy and Childbirth
Publisher
Springer Science and Business Media LLC
Published
2017-10-26
Volume
17
Issue
1
Pages
366-366
ISSN
1471-2393 (ISSN-L)
DOI
10.1186/s12884-017-1539-6
PMC
PMC5658933
OpenAlex
W2766536327
Cited by
29
References
21
Citations by year
2026: 2 · 2025: 3 · 2024: 1 · 2023: 2 · 2022: 11 · 2021: 2 · 2020: 6 · 2018: 2
FWCI
2.57
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • BMC Pregnancy and Childbirth (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and fetal healthcare
  • Health Sciences › Medicine › Clinical Neurology › Neurological Complications and Syndromes
Keywords
retroplacental hematoma, placental abnormalities, pregnancy complications, second-trimester miscarriage, placental insufficiency, fetal growth restriction, preterm birth, preterm premature rupture of membranes, preterm labor, intrauterine fetal death, hematoma localization
MeSH terms
Abortion, Spontaneous, Adult, Female, Fetal Growth Retardation, Hematoma, Humans, Infant, Newborn, Obstetric Labor, Premature, Placenta, Placenta Diseases, Placental Insufficiency, Pregnancy, Pregnancy Outcome, Pregnancy Trimester, Second, Retrospective Studies, Case-Control Studies, Stillbirth

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