We can suspect the condition when a patient suffering from HELLP syndrome or abruptio placentae
develops anuric ARF and fails to produce any urinary output after 3 or 4 weeks on dialysis--enough time for acute tubular necrosis to show any sign of recovery.
Differential Diagnosis Nonobstetric Conditions Obstetric Conditions Urinary calculi Preterm labor Cholelithiasis Abruptio placentae
Cholecystitis Chorioamnionitis Bowel obstruction Adnexal torsion Gastroenteritis Ectopic pregnancy Mesenteric adenitis Pelvic inflammatory disease Colonic carcinoma Round ligament pain Rectus hematoma Uteroovarian vein rupture Acute intermittent porphyria Carneous degeneration of myomas Perforated duodenal ulcer Uterine rupture (placenta percreta; rudimentary horn) Pneumonia Meckel's diverticulum Source: Dr.
Persistent changes like bradycardia and variable or late decelerations suggest poor fetal reserve or abruptio placentae
, and indicate the need for cesarean delivery.
Spontaneous abortions, abrupt separation of the placenta from the uterus, (abruptio placentae
), prematurity, low birth weight, intrauterine growth retardation, stillbirth, and childhood neurobehavioral deficits are some of the problems cocaine causes.
Although understanding of the adverse effects of cocaine use by pregnant women is limited, several studies suggest an association between cocaine use and abruptio placentae
, spontaneous abortions, prematurity, impaired fetal growth, congenital urogenital anomalies, and neurobehavioral deficits[9-12].
and disseminated intravascular coagulopathy.
The occurrence of abruptio placentae
and eclampsia was in 6.8% and 6.0%, respectively.
Subclinical chorioamnionitis may lead to higher rates of abruptio placentae
, but also to poor postpartum contractility of the uterus.
Provisional diagnosis of abruptio placentae
The association of cigarette smoking with placenta previa and abruptio placentae
. Semin Perinatol 1996;20:154-9.
In the <P75 group the cause of death was unknown in 3 cases, maternal diabetes in 3, severe congenital abnormalities in 1, abruptio placentae
in 1, and growth restriction and syphilis/ growth restriction in 1 each.
Those who had a multiple pregnancy, placenta previa, abruptio placentae
, coagulation abnormalities, cesarean section, or severe asthma were excluded.