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Trauma to the uterus(such as a car accident) can separate the placenta from the
uterus. Other reasons that can cause placental abruption (abruptio placentae)
include:
A prior pregnancy with placental abruption
A multiple pregnancy
High blood pressure
Pre-eclampsia
Cigarette smoking
Cocaine use
Pregnancy in older mother
Its not possible to reattach a placenta that's separated from the wall of the
uterus.Treatment options for placental abruptiondepend on the
circumstances:
The baby isnt close to full term:If the abruption seems mild, your baby's
heart rate is normal and it's too soon for the baby to be born - generally before 34
weeks of pregnancy - you might be hospitalised for close monitoring. If the
bleeding stops and your baby's condition is stable, you might be able to rest at
home. In some cases, you might be given medication to help your baby's lungs
mature, in case early delivery becomes necessary.
The baby is close to full term:If your baby is almost full term - generally after
34 weeks of pregnancy - and the placental abruption seems minimal, a closely
monitored vaginal delivery might be possible. If the abruption progresses or
jeopardizes your health or your baby's health, you'll need an immediate delivery
usually by caesarean section. If you experience severe bleeding, you might need a
blood transfusion.
Prevention of placental abruption (abruptio placentae)
You can't directlyprevent placental abruption, but you can decrease certain
risk factors that make placental abruption more likely. For example, don't smoke or
use illegal drugs, such as cocaine. If you have high blood pressure, talk to your
gynaecologist to control the condition.
If you've had any kind of abdominal trauma from an auto accident, fall or other