Video - Placental abruption

Placental abruption is a third-trimester obstetrical complication whereby the placenta prematurely detaches from the uterine wall leading to heavy bleeding and decreasing the amount of oxygen and nutrients that reach the fetus. Risk factors include cocaine abuse, trauma, smoking, hypertension, and preeclampsia.

Symptoms include vaginal bleeding, abdominal pain, and back pain, and if not treated promptly, it can lead to preterm labor, fetal distress, and even death. Management is with emergency cesarean delivery if there is fetal or maternal jeopardy. In-hospital observation may be opted for if the mother and fetus are stable and not term.