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Cited by 158Pregnancy and preeclampsia studiesMaternal and fetal healthcareReproductive System and Pregnancy

The DOI matches its Crossref record; 82 of the 82 references it cites were found in a registry or an index.

Etiology, clinical manifestations, and prediction of placental abruption

TIKKANEN, MINNA·2010·Acta Obstetricia Et Gynecologica Scandinavica
DOI 10.3109/00016341003686081
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Abstract

Placental abruption, defined as complete or partial detachment of the placenta before delivery, is one of the most devastating pregnancy complications. Bleeding and pain consist the classical symptoms of placental abruption but the clinical picture varies from asymptomatic, in which the diagnosis is made by inspection of the placenta at delivery, to massive abruption leading to fetal death and severe maternal morbidity. The diagnosis is always clinical. The etiology of placental abruption is not fully understood but impaired placentation, placental insufficiency, intrauterine hypoxia, and uteroplacental underperfusion are likely the key mechanisms causing abruption. Abruption results from a rupture of maternal decidual artery causing dissection of the decidual-placental interface. Acute vasospasm of small vessels may precede abruption. The trophoplastic invasion in the spiral arteries and subsequent early vascularization may be defective. Moreover, placental abruption may also be a manifestation of an inflammatory process which could affect vascular bed. Despite heightened awareness, placental abruption still remains unpredictable and unpreventable. A clinically useful predictive test is needed to detect individuals at risk. Although several biomarkers have been evaluated, none has so far turned out to be useful.

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Crossref · 10.3109/00016341003686081

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  1. Konje JC, 2006, High risk pregnancy, 1259

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Metadata

Authors
TIKKANEN, M.
Affiliations
Helsinki University Hospital (FI)
Corresponding author
TIKKANEN, MINNA
ORCID
TIKKANEN, MINNA
Venue
Acta Obstetricia Et Gynecologica Scandinavica
Publisher
Wiley
Published
2010-06
Volume
89
Issue
6
Pages
732-740
ISSN
  • 0001-6349 (ISSN-L)
  • 1600-0412
DOI
10.3109/00016341003686081
OpenAlex
W2027512962
Cited by
158
References
81
Citations by year
2026: 3 · 2025: 7 · 2024: 7 · 2023: 7 · 2022: 8 · 2021: 9 · 2020: 10 · 2019: 7 · 2018: 9 · 2017: 60 · 2016: 5 · 2015: 5 · 2014: 3 · 2013: 5 · 2012: 9
FWCI
7.41
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor, 213 d)
Locations
  • Acta Obstetricia Et Gynecologica Scandinavica (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and fetal healthcare
  • Life Sciences › Immunology and Microbiology › Immunology › Reproductive System and Pregnancy
Keywords
placental abruption, impaired placentation, placental insufficiency, fetal hypoxia, biomarkers, maternal morbidity, fetal death
MeSH terms
Abruptio Placentae, Female, Humans, Placenta, Predictive Value of Tests, Pregnancy

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