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Placental abruption (also known as abruptio placentae) is a complication of pregnancy, wherein the placental lining has separated from the uterus of the mother prior to delivery. It is the most common pathological cause of late pregnancy bleeding. In humans, it refers to the abnormal separation after 20 weeks of gestation and prior to birth. It occurs on average in 0.5%, or 1 in 200, deliveries.〔 Placental abruption is a significant contributor to maternal mortality worldwide; early and skilled medical intervention is needed to ensure a good outcome, and this is not available in many parts of the world. Treatment depends on how serious the abruption is and how far along the woman is in her pregnancy. Placental abruption has effects on both mother and fetus. The effects on the mother depend primarily on the severity of the abruption, while the effects on the fetus depend on both its severity and the gestational age at which it occurs. The heart rate of the fetus can be associated with the severity. == Signs and symptoms == * in the early stages, there may be no symptoms〔 * sudden-onset abdominal pain〔 * contractions that don't stop (and may follow one another so rapidly as to seem continuous)〔 * pain in the uterus〔 * tenderness in the abdomen〔 * vaginal bleeding〔 * uterus may be disproportionately enlarged * pallor * nonreassuring fetal status, i.e. decreased fetal movement, worrisome fetal heart rate〔 * signs and symptoms can vary〔 抄文引用元・出典: フリー百科事典『 ウィキペディア(Wikipedia)』 ■ウィキペディアで「Placental abruption」の詳細全文を読む スポンサード リンク
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