Placental abruption. Analysis of clinical cases

Nechaeva Julia Stanislavovna, Kurako Irina Aleksandrovna, Firsova Anastasia Gennadievna

An Abruptio placenta, represented in this article, is a critical and severe complication of gestation and delivery. We would like to adduce the newest statistical information of this problem and two cases from clinical practice of maternity hospital. The first case was unique, because abruption was identified in the conditions of imaginary well-being. The clinical picture had internal bleeding and there was antenatal death of fetus. Emergency caesarian section was performed. We noticed Couvelaire uterus and could save it. The second case had obvious symptoms of abruption placenta, that’s why the complication was successfully prevented. There was a high possibility of vascular pathology on the mother’s side in these two cases. According to these cases we want to remind, that abruption placentae must be diagnosed immediately. The abruption can result in fetal or mother death through severe bleeding leading to haemorrhagic shock, D.I.C. and Couvelaire uterus

Keywords:placental abruption, Couvelaire Uterus, cesarean delivery