Placenta:Placental AbruptionWhat are the symptoms and causes of placental abruption?
Placental abruption occurs when the placenta separates from the wall of uterus after the 20th week of pregnancy, but before the baby is born. Normally, the placenta seprates from the uterus and is expelled after the baby is delivered. Placental abruption is the most common cause of bleeding in the third trimester. Luckily, placental abruption is rare and only occurs in about 1% of all pregnancies. However, there is a fetal mortality rate of 20-40% percent when the condition occurs.
You are more likely to have placental abruption if you have had a placental abruption in the past, have diabetes, have high blood pressure, are pregnant with multiples, have had more than 4 children, are of advanced maternal age or abuse tobacco products, alcohol or cocaine. Other risk factors include traumatic falls or car accidents, prolonged rupture of the membranes and a short umbilical cord.
There are several ways that you can prevent placental abruption from occuring. Prenatal care is one of the best ways to avoid the condition. Eating a healthy diet and keeping a consistent, healthy blood pressure level can prevent placental abruption. Do not take any drugs or medications that are not prescribed or approved of by your doctor.
Women that experience placental abruption will suffer from a variety of symptoms. The most common symptoms are continuous contractions, uterine pain, abdominal pain and vaginal bleeding.
If you are experiencing any of the symptoms associated with placental abruption, it is crucial that you see your healthcare provider immediately for an evaluation. Your doctor will probably give you a complete physical exam and check for blood loss. Blood tests, ultrasounds and non stress tests are often used to diagnose or confirm the condition. The non stress test will check your baby's condition and make sure there is no fetal distress.
Once your doctor has confirmed the abruption, there are a variety of things that can be done. If the placenta has only separated a small amount and both mother and baby are not in any distress, chances are good that you will remain pregnant for the time being. You may have to be monitored in the hospital or your healthcare provider may feel like you will be safe going home. Your doctor will monitor the condition closely and you will be asked to take it easily. A mild case of placental abruption usually does not have any lasting effects on the mother or baby. However, if the separation is more severe, you may be given a series of tests to check your blood pressure, pulse and the blood's ability to clot. At that point, a blood transfusion may be given. If both mother and baby are in stable condition, labor may be induced and a vaginal delivery can be attempted. However, if mother or baby is in distress or there is severe blood loss, a cesarean section will immediately be performed to deliver the baby. If there was a large amount of blood loss during delivery, a blood transfusion may be required and intensive care may be needed. Mothers that suffer from severe cases of placental abruption often have to have medicine to get their uterus to contract after delivery and often have trouble with blood clotting for a few days after delivery. When the abruption is moderate to severe, the baby can be affected. If the baby has to be delivered early due to the abruption, he can be born prematurely. This can lead to respiratory and feeding problems and the baby will probably need to be cared for in the neonatal intensive care unit. Because an abruption can cause an lack of oxygen to be transferred to the baby, brain damage can occur. Occasionally, babies can die during delivery or shortly after delivery if the abruption was bad enough.
Comments: Placenta - Placental-Abruption
Comments 1 to 24 of about 34.
1047 days ago.
I am 11 weeks pregnant. I had 2 pervious complication free full term pregnancies. I had brown Spotting at 9.5 weeks. Went to the ER and was told everything as fine. Next morning I woke up with some bright red blood. Went back to the ER and was told that they found a 1cm tear above the placenta and my baby had not grown since 8 weeks. She told me I was having a miscarriage. Almost a week went by no bleeding pain or anything.. Woke up and found a tiny amount of brown discharge so I figured she was right and I did not want to go through the pain on a miscarriage so I made a d&c appointment. I felt odd and didnt want to abort a healthy pregnancy so I made one more appointment befor the d&c. They found a healthy baby measuring 10 weeks, moving all over. Strong hearted.. I was shocked and in disbelief. They said this tear can heal if I take it easy- no running or sex. I'm just terrified that things won't go well or what if it doesn't heal. What happens if the baby is under stress or not getting what it needs. I'm worried about pre term labor and just everything. I'm a stay at home mom so rest and will be easy I've been drinking so much water and hope this tear will heal!! Anybody with advice or questions please message me! seventhheaven
1076 days ago.
t 13 weeks I was diagnosed after waking froma nap in a puddle of blood with a previa .. I thought I had miscarried. I went on bed rest for a week bounced up and seemed fine for the remainder of the pregnancy. At 37 weeks while I was on standing on my deck my water broke !! I went to take a shower and told my husband to get up and get the kids while I took a shower .. Whe I got out of the shower theis incredible pain and bleeding started .. we jumped into the car and drove to the hospital where I almost colapsed at the desk from blood loss. My husband was parking with the other 3 little ones .. All I could manage to say was dont let my girls see all the blood .. Then nothing for days .. When I woke it was 2 days later the baby was a Beautiful boy Andrew. He was 4 lbs 11 oz .. I needed 2 blood transfusions but he was strong and so Healthy .. Today he is Hilarious and so amazing .. The Dr's told me I was lucky to have come out of that with my baby. I have never taken those words lightly. I got pregnant again in 2010.I spend the entire pregnancy terrified of a repeat Abruption .. BUt the pregnancy bumped along completly uneventful and at 37 weeks they had planned my section. Autumn was born at 5lbs 2oz a gorgeous little girl .. Now here I am again pregnant with my 7th.. Due July 11th with a planned section on June 13 a baby boy .. I'm nervous but feel confident that I can pull this off one last time . Bu still scared as hell .. those memories will never leave me .. I know what is possible now !! melinda_lowery@Hotmail.com
1152 days ago.
I had my beatiful baby boy Oct 3, 2012.38 weeks and 1 day That night i woke up in bed,i felt wet , i woke up my husband, i said my water had broke. I stood up, gushing blood, clots were just pouring out of me. i grabbed the phone and called 911. I laid on the bed and crossed my legs, it wouldnt stop gushing, i was so scared. I was at the hospital earlier that day because at my doctors the heartbeat wasnt strong. When i was monitored it was fine, but my blood pressure was high, i was two go back in to days for a stress test. When the ambulance came i was trying not to panic. they we young and thought i was giving birth. I kept saying just get me to the hopital something isnt right. I didnt feel the movement of my baby. MY bp was super high 200/120 . At the hospital my babys heartbeat dropped to 65 bpm , they rushed me in for a c section Austin was born 5 pounds 14 oz. He is healthy and is two months now. I Cant seem to get that night out of my head. After giving birth, i did get a uti , a kidney infection and had troubles going pee. Then i got a utrus infection. many trips to the hopital, and a ultra sound determined little peices of placenta was left inside. Now im fine, and healthy again. I do want another child in the next year, but i am so fearful of this happening again. M~ kts-nessie
1159 days ago.
Hello ladies if you would pls take a minute to read my story by clicking on the link below. thank you,
1521 days ago.
I had a placental abruption whe I was over due with my daughter. I actually wasn't even aware of it until after the tst were done on my placenta. I was in labor for 48 hours and when they finally decided to break my water it was all blood. There was no amniotic fluid left, all blood. I was rushed in for an emergency C Section immediately. My daughter was in the NICU for two and a half weeks, but we both SURVIVED! She is now an amazing 2 and a half year old.. I am currently 29 weeks pregnant with my second and of course scared it will happen again, but my dr. is very much on top of it. They are doing my section early because he thinks my going late last time might have had something to do with the abruption. Hoping for the best this time arund! Lissie****
1759 days ago.
95% of pregnancies cannot continue after an abruption. I had a terrrible abruption at week 20.5 yet I went full term 37.5 weeks and delivered a perfect baby boy. Large portions of the placenta were dead yet it delivered and functioned to care for my baby. My body had formed numerous membranes that seemed to function as a support system to the placenta. It was amazing. I was crying so much at the delivery and the nurse wondered what was wrong...I was so happy and felt so lucky--my son recieved an APGAR of 9-9. Better than my other two children. I don't know why things happen to us but I feel that there must be a reason for all things like this. I know 3 wonderful women, better than myself, that lost full term babies in the past few months :( Maybe there babies were too good for this world. i don't presume to know why this happened. I am so sorry for all of your losses and want to tell you it is not your fault. Hugs to you and no matter what happens there is hope. Mom-to-Noah-and-Runa
1764 days ago.
One year ago today I gave birth to my perfect baby girl. This was after a partial placental abruption at 26 weeks. If you find yourself on this board know there is hope. She is either ahead or right on track with ever milestone and has never given us any indication that the abruption harmed her. Lissie****
1851 days ago.
There is a correlation. Most of the time it doesn't mean you will end up with an abruption though. It is more likely if you are diagnosed end of first or begining of second trimester. (as was the case for me) I think it has to do with the developement/attachment of the placenta. conmae
1854 days ago.
I had a subchorionic Hemorrhage last week. I am currently 11 weks PG and still have some discharge. Is there any relation between a SCH and placenta abruption? Am I at higher risk now? Lissie****
1862 days ago.
Just wanted to say we are still hanging in there. I'm 27.5 weeks now. Lissie****
1894 days ago.
I am hoping we make it a few more weeks. Like Jeni at 21 weeks I had 3 big bleeds in 4 days then a few more moderate bleeds now spotting off and on. I had a subchorionic hematoma in early second trimester that actually cleared up. So I thought I was safe. Anyway, that wasn't the case. I am hoping that my son can make it alright and hopefully with no lifelong problems. I just can't believe we are a statistic. I guess that's just life. I'm so greatful my son looks so good and he is still growing!!! I am so blessed. Jeni we'll have to make it through this! We just have to make it a few more weeks, right?! I am so sorry for all of you that have lost your precious angel. I don't understand why things happen. I'm glad you made it. Hugs. RNJeni
1898 days ago.
I am 21 weeks pregnant.. and had bleeding a few days ago. Apparently I have a slight placental abruption which we are hoping will heal. My blood pressure is questionable...on the high end. I am still leaking some old blood and pray that my little one makes it. katiedodge619
1992 days ago.
I had a pregnancy with 41 1/2 weeks.. a big son healthy and happy. Then, 7 years later, I became pregnant with my daughter. She was always very active in uterine. Kicking and hiccups very very frequently. One day at 36 weeks and 4 days... I realized she hadn't really kicked for a couple hours. I told the hubby he then made me call the doctor. Never got a call back,,, started feeling light but very frequent contractions... hubby made me go to the hospital, felt kinda silly but thought better safe than sorry. Got to the hospital, contractions were very inconsistent timing at that point.. every 6mts then every 22mts. Nurse did a stress test. daughter was fine. they did want her heart rate to go up then down a little more. they gave me an IV of glucose. Performed and exam to see if I was dialated. about 10 mts after, felt like I had to pee, hubby helped me to the bathroom,,, as I stood up to wipe, his face went white and pointed and said ' ah babe, you are bleeding,, ALOT'.. Didn't even worry, thought it was 'bloody show' kinda got excited that we may go into labor. Well the bleeding got worse as did the contractions. My uterus got tender, the nurse and idiot on call doc wouldn't tell me where or why I was bleeding, told me that my unbareable contractions I know I was feeling weren't that severe.(later realized, they placed the contraction monitors low on top my belly where typical contractions start on uterus, not up high where placental abruption ones start) Doc peformed ultrasound, said it didn't look like much bleeding but couldn't really make out much on the screen..lol At this point they had me ly directly on a bed pan because the bleeding was so much. Finally after arriving at 9pm the previous night, my doc rolls in at 7am, see's that I have had severe and continous contractions, decides 10mts later by phone from the nurses station to my room that he was gonna perform an emergency c-section and I was indeed experiencing placental abruption. They wheeled me in, we recorded the surgery on video and it was BLOODY!. He delivered my beautiful baby girl 6lbs 6oz.. They told us to sstop recording,she had ingested so much blood, she couldn't breathe, they intabated her, I never heard her cry..They immeadiatly whisked her away kicking hubby out even. She was full of so much of my blood, her first stool wasn't meconium, it was pure blood.. they had to place and IV into her imbulicle cord all the way up to her heart, so therefore we were unable to hold her for the 1st 48hrs. she wasn't allowed to eat, she would cry for 2 whole days out of hunger :( But, by day 3, she was allowed out of NICU and I swear... right in my room in a basinet :) we left the hospital and she was perfect.. Then for shock factor... her and I were in a severe car accident on my actual due date which amazingly also fell on fathers day 2008.. so I could look st our unexpected event in so many different ways.. My doctor even says that it was a great thing I was not pregnant in my accident, that the trauma would have been severe for her! She is now 2yrs old and her doc says she is 3-6 mths advanced developmentally.. so smart and height, weight are always 85-95 percentile. So, like everyone else, I do want another baby, very bad. I am scared and I do really wish that out of all of these ladies that unfortunately experienced this tragic complication, would come back and update they forum comments. This complication happens in every 1% of pregnancies, each of our babies have a 20-40% chance of dying. we have a 10% chance of a reaccuring placental abruption in future pregnancies. All of this tells me, that it happens, it's tragic and can indeed happen again. IF ANYONE HAS ANY BIT OF HOPE OR WARNING, WE ALL WOULD APPRECIATE IT! So sorry for everyones devastating losses. I cry everytime I hear of a story that started like mine, but sadly didn't end like mine did. God bless your angels! 3rdOnBoard
2007 days ago.
8 months ago my daughter was delivered via emergency c-section. At 35 weeks my water broke and it was clear but I had no contractions. Had a shower and drove to the hospital. When we arrived, I started bleeding, so heavily that even though I was wearing a pad, my pants were soaked and I was dripping blood on the floor. Although I was panicking, the midwife kept telling me that it was completely normal and left me laying on a bed for over an hour. My husband demanded she get a Dr to see me and after one look, I was raced to theatre. They were in such a hurry to get my baby out that they cut me vertically and horizontally and I cant carry anymore children. They also cut my daughters head when they were cutting into me. It took them a while to get my daughter breathing and I lost over a litre of blood. I thank god that we both made it that day! jess87
2008 days ago.
hey ladies, i had a severe Placental Abruption, it happened at work and i thought my waters broke but it was blood... went to er, and dont remeber to much apart from waking up and the doctors were amazed my daughter and i made it, i had very high bp and had over 2 litres of blood transfusion, i am seeing a doctor at the moment to get over all the shock, it still scares me anyone else still having nightmares?
2089 days ago.
I had an abruption at 26 wks. Nobody told me anything until it happened. I had major contractions and bleeding. I went to er and was air evaced to a hospital w a better Nicu. My son was born at 6:01 am 14 weeks premature. He was 2lbs 3ozs. He spent 88 days in the Nicu. It was hard and scary. I can't even describe how bad it was. He is doing great now. He's one year old and learning how to walk. I'm pregnant again though and scared.... enjohnson1
2091 days ago.
I had an abruption at 14 weeks. I am currently 18 weeks, and I am still bleeding out old blood. Baby is fine, but I cannot work for fear it will happen again, but worse. Now the baby is at risk for ingesting the blood that got into the amniotic fluid from the bleed. This pregnancy is very stressful ! Anybody have any advice on abruptions? Mum2anAngel
2094 days ago.
Two months ago I had a placenta abruption at 41 weeks. I had a perfect pregnancy with no complications until that last night. I had an emerg c-section after I started bleeding and loosing clumps of blood. My baby girl was out within an hour of the symptoms but had bled out. The Drs. did a transfusion but the damage had already been done. She survived for 2 and a half days and then passed away. momof7plus2
2166 days ago.
I was 6.5 weeks Pg with my 5th child and was bleeding. I went to the ER and was told I was going to miscarry. than the U/S said I had a 8mm Placenta and it was tearing away by 6mm. And I was going to loss the baby. Was sent home on bed rest ( had 4 kids 8,6,4,2) I bleed til 25 weeks than was fine . At 30 weeks was standing in the kitchen felt a POP and Blood was running down my leg and befroe I know it I was standing in a Pool of it. Went to the Hos. and was but on bed rest for 11 days in there sent home on meds. Made it to my due date bleeding off and on. I was done on that day bleeding again went to the Hos. and 4 hour later at 7cc. His hart dropped to 35 and they did a emergentcey C-Sec... 10 years later he is the smartest one in the House knows everything about football. Play baseball and I have had 4 more kids since than and I am PG with twins ( again B/B Identcail are 8 years old) So even when the ER Doctor said ' we can do a D.C' at 6.5 weeks Glad I said no just do the U/S.... Luv my Little Bear mammaof2girls
2189 days ago.
I Was'nt Diagnosed With Placenta Abruption Until After I Had My Baby And they Examined the Placenta..They Said It Was A miracle That me and My Daughter Survived.. I had this gut feeling Something Was Wrong From the Time I found Out I was Pregnant with her! When they broke my water instead of water coming out Blood shot out .. They said I had been Hemoraging the whole time I was Pregnant and the placenta abrupt until during labor...I was Really scared. I thank God Everyday That We Made It! Carolyn1978
2189 days ago.
I was diagnosed with placenta abruption when I was 12 weeks pregnant. I was told I needed to rest and not work for two weeks.It was juast spotting bright red blood first the I ended up in the ER because I was gushing blood. I spent 4 days in hospital with complete bed rest, IV attached & bathroom privlidges with nurse assistance. The doctor released me with strick bedrest for the remainder of my two weeks and told my the abruption should heal on its own by week 14. I am currently on my 15th week with no bleeding since.
I have been eating healthy and resting when I can. I am back to work and haven't had any issues yet(knock on wood I don't either).
I had never heard of this before and I have already had two previous pregnancies that went perfectly fine. Hopefully everything works out fine. To all of you women who experience the same thing and are terrified, don't let it stress you out (that doesn't help the situation), get lots and lots of rest and eat healthy. Cheers! happymummy
2210 days ago.
Hi. I am 23 weeks pregnant and have noticed a tender patch on my upper abdomen - just to the left of my tummy button. It had been there for about a week. I noticed it when I was rubbing my tummy - it does not feel tender unless I put pressure there. Now I looked on line and am worried as I heard this can be a sign of placental abruption. I do not have any bleeding and do not have high BP. Can anyone help? I am away from home and will not get to see my midwife or doctor for 3 weeks. Thanks! gg13
2281 days ago.
Towards the end of my first pregnancy,(35 weeks) I felt a burning with some mild contractions. It was confirmed about 2 days later that I indeed had contractions. They put me on Tirbulalane and told me to rest. 4 days later I had a placenta abruption. Thankfully my little girl was born at 36 weeks 4lbs 4oz (healthy)with an apgar score of 9. My placenta was analyzed with inconclusive results, however I was diagnosed with MTHFR 6 months later. I am now taking high dosages of folic acid. I also noticed that I did not make a lot of breast milk. Has this happened to anyone? I am trying to conceive again, jazzmynn12109
2371 days ago.
Hello im a first time mom im 16 years old and pregnant with a baby girl iiM 24 weeks along &+ Havee recently been diagnosed wiith placental abruption,ii WASz devistaded Whenn ii realised that ii had to be induced as soon as possible right now im on bed rest and waiting for her to come im almost fully dialated this is very new to me anyone goin thru this &+ williing to share There info? Thanksz ccandjoe
2371 days ago.
Hi. With my first pregnancy I was diagnosed with a complete previa at 14 weeks. I started bleeding (huge gush) at 28 weeks. After several days in the hospital (and baby was fine) I was sent home for complete bed rest. Continued having various gushing blood episodes between 28-32 weeks and was in and out of the hospital 4 different times. Finally the day I hit 33 weeks I had the worst gush yet and my dr. said it was time to deliver. My son was born at 4 lb 10 oz and had a rough start, but is a healthy one year old today and I feel truely blessed! My hubby and I would like to have another child, but I'm terrified of another previa and abruption. Has anyone else gone on to have more children after an abruption? If so, was everything ok in your future pregnancies? Thanks for any info!