title: Clinical management and outcome of pregnancies complicated by previous abruption.
abstract: OBJECTIVE
  We studied the clinical management and prognosis of pregnant women with a history of abruption, as well as the associated risk factors.
  
  
  METHODS
  We reviewed the cases of 23 patients with a history of abruption and 66 patients with abruption.
  
  
  RESULTS
  The recurrence rate of abruption was 4.3%. Intentional care prolonged gestational age in most patients. Although the incidence of abruption was low (0.44%), the consequences could be perinatal death and maternal disseminated vascular coagulation (DIC).
  
  
  CONCLUSIONS
  To prevent abruption recurrence, careful monitoring during hospitalization is important. Both clinical findings and transabdominal echography are useful in diagnosing abruption.
authors.affiliation: Department of Obstetrics and Gynecology, Aiiku Hospital, Maternal and Child Health Center, Tokyo, Japan. sakikawa-tky@umin.ac.jp
authors.forename: Makiko
authors.initials: M
authors.lastname: Sakikawa
authors.forename: Tomoko
authors.initials: T
authors.lastname: Adachi
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Nakabayashi
authors.forename: Daisuke
authors.initials: D
authors.lastname: Matsui
authors.forename: Akiyoshi
authors.initials: A
authors.lastname: Urano
authors.forename: Xiaohui
authors.initials: X
authors.lastname: Tang
authors.forename: Kaya
authors.initials: K
authors.lastname: Tsuruga
authors.forename: Yukiko
authors.initials: Y
authors.lastname: Kawana
authors.forename: Yoshiharu
authors.initials: Y
authors.lastname: Takeda
authors.forename: Setsuko
authors.initials: S
authors.lastname: Nakayama
authors.forename: Hideki
authors.initials: H
authors.lastname: Sakamoto
authors.forename: Masao
authors.initials: M
authors.lastname: Nakabayashi
mesh_terms: D000037:Abruptio Placentae / Q000175:diagnosis / Q000453:epidemiology* / Q000517:prevention & control*; D000328:Adult; D005260:Female; D005865:Gestational Age; D006801:Humans; D007564:Japan / Q000453:epidemiology; D011247:Pregnancy; D011256:Pregnancy Outcome; D011295:Prenatal Care; D011296:Prenatal Diagnosis; D012008:Recurrence; D012189:Retrospective Studies; D012307:Risk Factors