Is the perinatal outcome of placental abruption modified by clinical presentation?

The purpose of this study was to elucidate the impact of the clinical presentation on perinatal outcome in placental abruption. a retrospective study was performed in 97 placental abruptions. placental abruptions were classified according to clinical presentation: pregnancy-induced hypertension (ht,n = 22),threatened premature labor and/or premature rupture of membranes (tpl/rom,n = 35),clinically low risk (lr,n = 27),and others (n = 13). perinatal outcomes were compared among the ht,tpl/rom,and lr groups. the ht had significantly higher incidence of iugr,ifud,and low fibrinogen. the tpl/rom had less severe disease. however,the lr had significantly higher incidence of iufd,low ua ph < 7.1,low apgar score of <7 at 5 min,and low fibrinogen. disease severity in placental abruption is likely to depend on the clinical presentation.