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Interventions for treating placental abruptionNeilson JP
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SummaryInterventions for treating placental abruptionThere is no evidence from trials to show the best way to help pregnant women and babies when there is a placental abruption. The placenta is attached to the baby by the umbilical cord, and to the inside of the uterus. If the placenta starts separating from the uterus before the baby is born, it is called placental abruption. It can be caused by a medical problem or physical trauma. This quickly becomes life-threatening for women and babies, and cannot be repaired. The baby may need to be delivered immediately, by caesarean section if alive, and often vaginally if the baby has died. Additional treatments include pain relief, blood transfusion and monitoring. However, the review found no trials to show which treatments are best.
This is a Cochrane review abstract and plain language summary, prepared and maintained by The Cochrane Collaboration, currently published in The Cochrane Database of Systematic Reviews 2010 Issue 1, Copyright © 2010 The Cochrane Collaboration. Published by John Wiley and Sons, Ltd.. The full text of the review is available in The Cochrane Library (ISSN 1464-780X).
This version first published online:
January 20. 2003 AbstractBackgroundPlacental abruption is an important cause of maternal and fetal mortality and morbidity. ObjectivesTo assess the effectiveness and safety of any intervention for the care of women and/or their babies following a diagnosis of placental abruption. Search strategyThe Cochrane Pregnancy and Childbirth Group's Trials Register (April 2009). Selection criteriaRandomised and 'quasi-randomised' trials that report clinically meaningful outcomes and present results on an intention-to-treat basis. Data collection and analysisIf eligible trials were to be identified, data will be extracted, unblinded, by the review author from all studies. Main resultsNo studies that met the inclusion criteria were identified. Authors' conclusionsThe clinical management of placental abruption has to rely on knowledge other than that obtained through randomised clinical trials. |