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

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Etiology, clinical manifestations, and prediction of placental abruption

TIKKANEN, MINNA·2010·Acta Obstetricia Et Gynecologica Scandinavica

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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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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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Etiology, clinical manifestations, and prediction of placental abruption

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