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
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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“Rupture of maternal decidual vessels leads to bleeding at the decidual-placental interface (10).”
From Placental abruption at near-term and term gestations: Pathophysiology, epidemiology, diagnosis, and management (2023) · cites this paper as [10]
In the citing paper
“These processes lead to placental hypoperfusion and defective spiral artery remodeling, placental infarction, and shallow trophoblast invasion (10).”
From Placental abruption at near-term and term gestations: Pathophysiology, epidemiology, diagnosis, and management (2023) · cites this paper as [10]
Citations
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Brandt, J. S., & Ananth, C. V. (2023) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2022.06.059 · Cited by 115
Complications From Inflammatory Bowel Disease During Pregnancy and Delivery
Bröms, G., Granath, F. N., Linder, M., Stephansson, O., Elmberg, M., & Kieler, H. (2012) · Clinical Gastroenterology and Hepatology · doi:10.1016/j.cgh.2012.08.018 · Cited by 80
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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
- 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
- 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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