Descolamento prematuro de placenta
Placental abruption
Rev. méd. Minas Gerais; 22 (supl.5), 2012
Publication year: 2012
O descolamento prematura de placenta (DPP) e uma emergencia obstetrica que exige intervencao
medica imediata e e responsavel por alto indice de mortalidade perinatal e materna.
Incide em aproximadamente 0,5 a 3,0% do total de gestacoes, relacionando-se com mortalidade
perinatal em 15% dos casos. A causa primaria da DPP e desconhecida, entretanto associa-
se frequentemente com hipertensao arterial sistemica. O diagnostico e essencialmente
clinico e o quadra se caracteriza principalmente por sangramento vaginal, dor abdominal e
hipertonia uterina. A conduta adotada varia na dependencia das condicoes maternas e fetais.
O presente relato expoe um caso envolvendo gestante sem fatores de risco, apresentando
manifestacoes clinicas classicas. 0 reconhecimento rapido do descolamento prematura de
placenta e a intervencao apropriada garantiram a sobrevivencia materna e neonatal. (AU)
Placental abruption (also known as Abrutio Placentae) is an obstetric emergency that
demands prompt medical intervention and is responsible for a high perinatal and maternal
mortality rate. It occurs in approximately 0,5 - 3,0% of all pregnancies, resulting in perinatal
mortality in about 15% of the occurrences. The main cause that leads to Abrutio Placentae
is still unknown, but it is often related to maternal high blood pressure. The diagnostic is
made primarily by the clinical evaluation of the patient and the expected symptoms include
vaginal bleeding, abdominal ache and hypertonia of the uterus. The medical approach varies
depending of both maternal and fetal overall condition. The following report displays a case
that happened to a pregnant woman which had apparently no risk whatsoever and ended
up presenting the classical clinical manifestations. The rapid diagnostic and appropriate
handling of the placental abruption assured the survival of both mother and newborn. (AU)