The effect on the likelihood of further pregnancy of placental abruption and the rate of its recurrence
- 1 November 1997
- journal article
- Published by Wiley in BJOG: An International Journal of Obstetrics and Gynaecology
- Vol. 104 (11), 1292-1295
- https://doi.org/10.1111/j.1471-0528.1997.tb10977.x
Abstract
Objective To assess the effect of having a placental abruption on 1. the probability of having further pregnancies, and 2. the rate of recurrence in such pregnancies. Design A cohort study based on the Medical Birth Registry of Norway. Results From 1967 to 1989, placental abruption occurred in 218/4951 subsequent deliveries after a placental abruption index case. After placental abruption with perinatal survival in the first delivery 59% of women had a further delivery, compared with 71% who did not have placental abruption at delivery. After a perinatal loss corresponding rates were 83% and 85%, respectively. Odds ratios of recurrence of abruption, crude and adjusted for maternal age, birth order and time period were 7.1 and 6.4, respectively. No secular trends were found. Caesarean section rates increased and were higher in pregnancies with recurrent placental abruption and in subsequent pregnancies without placental abruption than in the total birth population. Conclusions Women who have placental abruption are less likely than other women to have another pregnancy. For women who do have subsequent pregnancies placental abruption occurs significantly more frequently.Keywords
This publication has 13 references indexed in Scilit:
- Correlates of placental abruptionBJOG: An International Journal of Obstetrics and Gynaecology, 1987
- Abruption and premature separation of placenta previaEuropean Journal of Obstetrics & Gynecology and Reproductive Biology, 1982
- Perinatal mortality and late sequelae in children born after abruptio placentaeEuropean Journal of Obstetrics & Gynecology and Reproductive Biology, 1979
- The aetiology and outcome of abruptio placentaeActa Obstetricia et Gynecologica Scandinavica, 1979
- THE MANAGEMENT OF ABRUPTIO PLACENTAEBJOG: An International Journal of Obstetrics and Gynaecology, 1973
- Genesis of severe placental abruptionAmerican Journal of Obstetrics and Gynecology, 1970
- Management of Abruptio PlacentaeJAMA, 1970
- Management of abruptio placentaePublished by American Medical Association (AMA) ,1970
- THE EPIDEMIOLOGY OF ANTE‐PARTUM HAEMORRHAGEBJOG: An International Journal of Obstetrics and Gynaecology, 1962