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Abruption and Preterm Labor

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Preterm Labor and Delivery

Part of the book series: Comprehensive Gynecology and Obstetrics ((CGO))

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Abstract

Placental abruption accounts for 5–10% of all preterm deliveries and is more common in cases involving a lower gestational age. The incidence of placental abruption is highest at earlier gestational age (7–18%, 24–30 weeks of gestation) and then decreases and reaches <1.0% around 36 weeks.

Cigarette smoking, parity (grand multiparity), hypertensive disorders, and preterm premature rupture of membranes are found to be independent factors associated with the development of preterm placental abruptions. In the late preterm period, prognosis tends to deteriorate especially in cases of placental abruption preceded by hypertensive disorders. Furthermore, preceding clinical manifestations such as preterm premature rupture of membranes or hypertensive disorders may not have less of an influence on prognosis at the early preterm period. An understanding of the etiology involving the development of placental abruption, its frequency, and its effect on prognosis should lead to better management of preterm labor.

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Faculty of medicine, University of Miyazaki, Miyazaki, Japan

    Seishi Furukawa M.D., Ph.D.

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  1. Seishi Furukawa M.D., Ph.D.
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  1. Department of Obstetrics and Gynecology, University of Miyazaki, Faculty of Medicine, Miyazaki, Japan

    Hiroshi Sameshima

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Furukawa, S. (2020). Abruption and Preterm Labor. In: Sameshima, H. (eds) Preterm Labor and Delivery. Comprehensive Gynecology and Obstetrics. Springer, Singapore. https://doi.org/10.1007/978-981-13-9875-9_9

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  • DOI: https://doi.org/10.1007/978-981-13-9875-9_9

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  • Publisher Name: Springer, Singapore

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  • Online ISBN: 978-981-13-9875-9

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