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Placental abruption
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== Signs and symptoms == In the early stages of placental abruption, there may be no symptoms.<ref name=Merck2017/> When symptoms develop, they tend to develop suddenly. Common symptoms include: * sudden-onset abdominal pain<ref name="Shef2014" /><ref name=":1">{{Cite journal|date=2019-03-01|title=Analysis of 62 placental abruption cases: Risk factors and clinical outcomes|journal=Taiwanese Journal of Obstetrics and Gynecology|language=en|volume=58|issue=2|pages=223β226|doi=10.1016/j.tjog.2019.01.010|issn=1028-4559|last1=Li|first1=Yang|last2=Tian|first2=Yuan|last3=Liu|first3=Ning|last4=Chen|first4=Yang|last5=Wu|first5=Fuju|pmid=30910143|doi-access=free}}</ref> * contractions that seem continuous and do not stop<ref name="Shef2014" /> * vaginal bleeding<ref name="Shef2014" /><ref name=":1" /> * enlarged uterus (disproportionate to the gestational age of the fetus)<ref name="Shef2014" /> * decreased fetal movement<ref name="Shef2014" /> * decreased fetal heart rate.<ref name="Shef2014" /> [[Vaginal bleeding]], if it occurs, may be bright red or dark.<ref name=Merck2017/> A placental abruption caused by arterial bleeding at the center of the placenta leads to sudden development of severe symptoms and life-threatening conditions including fetal heart rate abnormalities, severe maternal hemorrhage, and [[disseminated intravascular coagulation]] (DIC). Those abruptions caused by venous bleeding at the periphery of the placenta develop more slowly and cause small amounts of bleeding, [[intrauterine growth restriction]], and [[oligohydramnios]] (low levels of amniotic fluid).<ref name=":0" />
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