title: Is the perinatal outcome of placental abruption modified by clinical presentation?
abstract: OBJECTIVE
  The purpose of this study was to elucidate the impact of the clinical presentation on perinatal outcome in placental abruption.
  
  
  METHODS
  A retrospective study was performed in 97 placental abruptions. Placental abruptions were classified according to clinical presentation: pregnancy-induced hypertension (HT, n = 22), threatened premature labor and/or premature rupture of membranes (TPL/ROM, n = 35), clinically low risk (LR, n = 27), and others (n = 13). Perinatal outcomes were compared among the HT, TPL/ROM, and LR groups.
  
  
  RESULTS
  The HT had significantly higher incidence of IUGR, IFUD, and low fibrinogen. The TPL/ROM had less severe disease. However, the LR had significantly higher incidence of IUFD, low UA pH < 7.1, low Apgar score of <7 at 5 min, and low fibrinogen.
  
  
  CONCLUSIONS
  Disease severity in placental abruption is likely to depend on the clinical presentation.
authors.affiliation: Department of Obstetric & Gynecology, Faculty of Medicine, University of Miyazaki, Miyazaki 889-1692, Japan. snhm10@fc.miyazaki-u.ac.jp
authors.forename: Seishi
authors.initials: S
authors.lastname: Furukawa
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Sameshima
authors.forename: Tsuyomu
authors.initials: T
authors.lastname: Ikenoue
authors.forename: Masanao
authors.initials: M
authors.lastname: Ohashi
authors.forename: Yoshio
authors.initials: Y
authors.lastname: Nagai
mesh_terms: D000037:Abruptio Placentae / Q000175:diagnosis / Q000453:epidemiology*; D000138:Acidosis / Q000453:epidemiology / Q000209:etiology; D000328:Adult; D000347:Afibrinogenemia / Q000453:epidemiology / Q000209:etiology; D001034:Apgar Score; D002585:Cesarean Section; D002821:Chorioamnionitis / Q000453:epidemiology; D005260:Female; D005313:Fetal Death / Q000453:epidemiology / Q000209:etiology; D005322:Premature Rupture of Fetal Membranes / Q000453:epidemiology*; D006801:Humans; D046110:Hypertension, Pregnancy-Induced / Q000453:epidemiology*; D007752:Obstetric Labor, Premature / Q000453:epidemiology*; D011247:Pregnancy; D012189:Retrospective Studies; D055815:Young Adult