title: [Premature separation of the placenta--clinical findings and fetal monitoring].
abstract: In a study group of 41 pregnant women of postpartally confirmed placental abruption, the prognostic value of clinical and diagnostic findings was investigated. The incidence of placental abruption was 1.4% of all deliveries within a three-year interval. 51% of patients showed vaginal bleeding before delivery. Retroplacental haematoma was found in 49% of cases ultrasonographically. A total of 75% had a pathological CTG test. More than 95% of these findings occurred within 3 days before delivery. Abnormal Doppler flow findings in foetal vessels more than 3 days before delivery were seen in 62% of cases. In the last three days before delivery, 86% were abnormal. Preterm delivery before 37 weeks of gestation was registered in 82% of patients. Perinatal mortality amounted to 12%. The rate of severely dystrophic newborn was 30%. Even in cases with lack of the clinical and/or sonographical findings, the possibility of placental abruption should be considered, if an acute deterioration of cardiotocographic or Doppler-sonographic findings.
authors.affiliation: Institut für Humangenetik, Medizinische Universität zu Lübeck.
authors.forename: C L
authors.initials: CL
authors.lastname: Graf von Ballestrem
authors.forename: W
authors.initials: W
authors.lastname: Rühle
authors.forename: J
authors.initials: J
authors.lastname: Gnirs
authors.forename: A K
authors.initials: AK
authors.lastname: Ertan
authors.forename: W
authors.initials: W
authors.lastname: Schmidt
mesh_terms: D000037:Abruptio Placentae / Q000175:diagnosis* / Q000401:mortality / Q000503:physiopathology; D015148:Cardiotocography; D002585:Cesarean Section; D005260:Female; D005313:Fetal Death / Q000473:pathology; D005323:Fetal Monitoring / Q000379:methods*; D005333:Fetus / Q000098:blood supply; D005865:Gestational Age; D006801:Humans; D007231:Infant, Newborn; D008431:Maternal-Fetal Exchange / Q000502:physiology; D010920:Placenta / Q000473:pathology / Q000503:physiopathology; D011225:Pre-Eclampsia / Q000175:diagnosis / Q000401:mortality / Q000503:physiopathology; D011247:Pregnancy; D012189:Retrospective Studies; D016216:Ultrasonography, Prenatal
vernacular_title: Vorzeitige Plazentalösung--klinische Befunde und fetale Uberwachungsmethoden.