How is abruptio placentae prevented?

Updated: Nov 30, 2018
  • Author: Shad H Deering, MD; Chief Editor: Carl V Smith, MD  more...
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Answer

Elimination of correctable risk factors can decrease the risk of recurrence in subsequent pregnancies.

Two of the most notable correctable factors are smoking and cocaine abuse. Education about the risks of these behaviors and about cessation or rehabilitation programs may help to prevent future abruptions.

If a patient has been abused, preventing further abuse is an important consideration.

Because of the potential association with thrombophilias with abruptio placentae, a patient found to have a thrombophilia who had a severe or early abruption, especially with death of the fetus, is usually treated with heparin anticoagulation therapy during the following pregnancy and for 6 weeks' postpartum, although, at present, little evidence has demonstrated that this measure decreases the risk of recurrence.


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