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Placental abruption – recurrence risk informs future pregnancy counselling

Record #12 · Edit the content, source and classification relationships.

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Related questions 27

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Additional Insight #12

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UUID — protected

5c0d408e-2460-4db5-b257-ca3a644b409a

Classification Relationships — through Subtopic3

4 assigned

Obstetrics and Gynaecology→ Clinical→ Delivery suite→ Haemorrhage→ Antepartum haemorrhage→ Placental abruption→ Antithrombotic prevention

Obstetrics and Gynaecology→ Clinical→ Delivery suite→ Haemorrhage→ Antepartum haemorrhage→ Placental abruption→ Prevention

Obstetrics and Gynaecology→ Clinical→ Delivery suite→ Haemorrhage→ Antepartum haemorrhage→ Placental abruption→ Previous abruption recurrence risk

Obstetrics and Gynaecology→ Clinical→ Delivery suite→ Haemorrhage→ Antepartum haemorrhage→ Placental abruption→ Risk assessment

Related Questions (27)

Matched through Subtopic3

SSBAQ62 generated

A woman at 33 weeks presents with sudden abdominal pain and a small antepartum haemorrhage. She is normotensive and the CTG is initially reassuring. Her booking history shows a first-trimester intrauterine haematoma associated with threatened miscarriage, which subsequently resolved completely. Which interpretation of that early-pregnancy history is most appropriate?

Delivery suite → Haemorrhage → Antepartum haemorrhage → Placental abruption → Risk assessment

SSBAQ68 generated

A multiparous woman attends for pre-pregnancy counselling after a pregnancy complicated by placental abruption. Which aspect of her history is most important when assessing her risk of placental abruption in a subsequent pregnancy?

Delivery suite → Haemorrhage → Antepartum haemorrhage → Placental abruption → Risk assessment

SSBAQ98 generated

A nulliparous woman at 34 weeks with pre-eclampsia develops sudden abdominal pain and vaginal bleeding. The uterus is tender and CTG becomes abnormal. Which feature of her history is an established risk factor for the most likely diagnosis?

Delivery suite → Haemorrhage → Antepartum haemorrhage → Placental abruption → Risk assessment

SSBAQ99 generated

A woman with a previous placental abruption seeks preconception advice. She smokes 20 cigarettes daily. Which modifiable intervention is specifically relevant to reducing her risk profile for recurrent placental abruption?

Delivery suite → Haemorrhage → Antepartum haemorrhage → Placental abruption → Risk assessment

SSBAQ100 generated

A woman at 33 weeks presents with painful vaginal bleeding, a tense tender uterus and fetal tachycardia. She reports recent recreational drug use. Which substance is particularly associated with placental abruption?

Delivery suite → Haemorrhage → Antepartum haemorrhage → Placental abruption → Risk assessment

SSBAQ111 generated

A woman at 35 weeks is involved in a road traffic collision and sustains blunt abdominal trauma. She subsequently develops abdominal pain and uterine tenderness with only minimal vaginal bleeding. Which diagnosis should be specifically considered?

Delivery suite → Haemorrhage → Antepartum haemorrhage → Placental abruption → Risk assessment

SSBAQ135 generated

A nulliparous woman asks whether placental abruption can be reliably predicted because she has none of the recognised clinical risk factors. Which counselling statement is most accurate?

Delivery suite → Haemorrhage → Antepartum haemorrhage → Placental abruption → Risk assessment

SSBAQ142 generated

A woman planning another pregnancy previously had a placental abruption complicated by fetal growth restriction. She asks whether identifying and eliminating all recognised modifiable risk factors would make recurrence negligible. She does not smoke, use recreational drugs or have hypertension. Which is the most appropriate counselling?

Delivery suite → Haemorrhage → Antepartum haemorrhage → Placental abruption → Risk assessment

SSBAQ159 generated

A woman at 32 weeks presents for the third time with unexplained small-volume APH. Ultrasound confirms a normally situated placenta. During history-taking she appears anxious and her partner repeatedly answers questions for her. Examination shows bruising of different ages over the abdomen and upper arms. Which additional assessment is most important?

Delivery suite → Haemorrhage → Antepartum haemorrhage → Placental abruption → Risk assessment

SSBAQ179 generated

Four pregnant women are counselled regarding placental abruption. Which history should carry the greatest weight when estimating recurrence risk?

Delivery suite → Haemorrhage → Antepartum haemorrhage → Placental abruption → Risk assessment

SSBAQ189 generated

A woman at 31+5 weeks is admitted following preterm rupture of membranes. Forty-eight hours later she develops vaginal bleeding. Which new feature would most substantially increase concern that the bleeding represents placental abruption rather than uncomplicated bleeding associated with cervical change?

Delivery suite → Haemorrhage → Antepartum haemorrhage → Placental abruption → Risk assessment

SSBAQ190 generated

A woman at 34 weeks with severe polyhydramnios undergoes spontaneous rupture of membranes with a large rapid loss of liquor. Shortly afterwards she develops constant abdominal pain, a small vaginal bleed and a persistently tense uterus. Maternal observations are initially normal. Which interpretation is most appropriate?

Delivery suite → Haemorrhage → Antepartum haemorrhage → Placental abruption → Risk assessment

SSBAQ192 generated

A screening proposal is designed to prevent placental abruption by identifying women with recognised antenatal risk factors and classifying all remaining pregnancies as negligible risk. Which feature of the epidemiology of abruption most fundamentally limits this strategy?

Delivery suite → Haemorrhage → Antepartum haemorrhage → Placental abruption → Risk assessment

SSBAQ193 generated

A woman planning pregnancy has heterozygous factor V Leiden and a previous placental abruption. She asks whether prophylactic low-dose aspirin plus low-molecular-weight heparin should routinely be prescribed specifically to prevent recurrent abruption. Which response best reflects the available evidence?

Delivery suite → Haemorrhage → Antepartum haemorrhage → Placental abruption → Prevention

SSBAQ199 generated

A woman at 35 weeks presents with new APH and abdominal pain. Her pregnancy has been complicated by severe fetal growth restriction. Maternal observations are currently normal and ultrasound shows no retroplacental collection. Which interpretation best integrates the fetal growth history into the current assessment?

Delivery suite → Haemorrhage → Antepartum haemorrhage → Placental abruption → Risk assessment

SSBAQ201 generated

A woman with a previous placental abruption is planning another pregnancy. She smokes 15 cigarettes daily, intermittently uses cocaine and has no hypertension or thrombophilia. She asks which intervention has the clearest rationale for reducing modifiable abruption risk before conception.

Delivery suite → Haemorrhage → Antepartum haemorrhage → Placental abruption → Prevention

SSBAQ202 generated

A woman at 36 weeks with a transverse lie presents with sudden APH and abdominal pain. Maternal observations are currently stable and CTG is reassuring. Which interpretation of the fetal presentation is most appropriate?

Delivery suite → Haemorrhage → Antepartum haemorrhage → Placental abruption → Risk assessment

SSBAQ203 generated

A woman with recurrent unexplained APH asks whether her low pre-pregnancy BMI is relevant to placental abruption risk. Which response best reflects the guideline?

Delivery suite → Haemorrhage → Antepartum haemorrhage → Placental abruption → Risk assessment

SSBAQ204 generated

A woman at 30 weeks with preterm prelabour rupture of membranes develops pyrexia, uterine tenderness and a small APH. Which reasoning is most appropriate?

Delivery suite → Haemorrhage → Antepartum haemorrhage → Placental abruption → Risk assessment

EEMQQ237 generated

Select the single factor that most strongly increases this woman's risk of recurrent placental abruption.

Delivery suite → Haemorrhage → Antepartum haemorrhage → Placental abruption → Risk assessment

EEMQQ239 generated

Select the single most appropriate counselling statement regarding prevention.

Delivery suite → Haemorrhage → Antepartum haemorrhage → Placental abruption → Prevention

EEMQQ244 generated

Select the single most appropriate interpretation of population risk prediction.

Delivery suite → Haemorrhage → Antepartum haemorrhage → Placental abruption → Risk assessment

EEMQQ247 generated

Select the single most appropriate interpretation of the first-trimester finding.

Delivery suite → Haemorrhage → Antepartum haemorrhage → Placental abruption → Risk assessment

EEMQQ251 generated

Select the single most appropriate interpretation of the trauma history.

Delivery suite → Haemorrhage → Antepartum haemorrhage → Placental abruption → Risk assessment

EEMQQ252 generated

Select the single most appropriate interpretation of the substance-use history.

Delivery suite → Haemorrhage → Antepartum haemorrhage → Placental abruption → Risk assessment

EEMQQ268 generated

Select the single most important historical risk factor for placental abruption.

Delivery suite → Haemorrhage → Antepartum haemorrhage → Placental abruption → Previous abruption recurrence risk

EEMQQ277 generated

Select the single most appropriate counselling statement regarding prevention of recurrent placental abruption.

Delivery suite → Haemorrhage → Antepartum haemorrhage → Placental abruption → Antithrombotic prevention