Live Birth After Expectant Management of Second Trimester Placental Abruption.

Ha, Min Sook; Hwang, Tae Gi; Lee, Sang Kyeong; Lee, In Ha; Park, Yeon Jin; Ji, Ill Woon; Jeong, Eun Hwan; Kim, Hak Soon; Sung, Rohyun

Case Report

Korean Journal of Obstetrics & Gynecology 2004;47(9):1789-1793.
Published online September 1, 2004.

Live Birth After Expectant Management of Second Trimester Placental Abruption.

Min Sook Ha, Tae Gi Hwang, Sang Kyeong Lee, In Ha Lee, Yeon Jin Park, Ill Woon Ji, Eun Hwan Jeong, Hak Soon Kim, Rohyun Sung

¹Department of Obstetrics and Gynecology, Chungbuk National University Hospital, Cheongju, Korea.
²Department of Pathology, Chungbuk National University Hospital, Cheongju, Korea.

Abstract

Prognosis of placental abruption depends on gestational age and the status of the mother and the fetus, and perinatal mortality was almost entirely attributable to prematurity. A midtrimester women with placental abruption was successfully treated by expectant management including fetal surveillance, serial ultrasonography and maternal hematologic examination, and delivered a healthy baby 11 weeks later. We suggest that expectant management may be considered as a good treatment option until fetal lung maturation is documented in preterm pregnancy with placental abruption if there is no maternal or fetal compromise.

Key Words: Second trimester, Placental abruption, Expectant management