Placental abruption: etiopathogenic aspects, diagnostic and therapeutic implications

Vol. 59 No. 1, 2018


Anca Daniela Braila, Adrian Gluhovschi, Adrian Neacsu, Cristian Virgil Lungulescu, Mihai Braila, Elena Luminita Vircan, Bogdan-Virgil Cotoi, Alexandru Marian Goganau

The severe form of retroplacental hematoma is a serious accident in the second stage of pregnancy and at birth with frightening for the mother and fetus that often lead to death. The pathological mechanism presumes conditions for a special ground capital for the efficiency of the acute intradecidual vascular accident with the rupture of the uterus-placental arterioles. The complete clinical picture of this severe form of retroplacental hematoma - the placental abruption, observed and mentioned by the classics (vascular drama of Couvelaire) consists of five syndromes, 18 signs and symptoms, four paradoxes, phenomena not fully met in the other forms of retroplacental hematoma (minor and intermediate). The rate of incidence of retroplacental hematoma is in between 0.13-1.38% and depends on the environment, on the socio-economic and medical conditions, on the obstetric education and associated pathology. Our study aims at re-evaluating the clinico-paraclinical phenomenon imposed by the dramatism of the phenomenon of in utero placental apoplexy, the impact on neonatal mortality and on the functional prognosis from the point of view of surgical climax.

Corresponding author: Adrian Neacsu, Associate Professor, MD, PhD; e-mail:; Bogdan-Virgil Cotoi, Lecturer, MD, PhD; e-mail:

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