Full-Text Paper (PDF): Descolamento prematuro de placenta – Útero de Couvelaire [Placental abruption – Couvelaire uterus]. English: Couvelaire uterus is rare. The PDF file you selected should load here if your Web browser has a PDF reader plug-in installed (for example, a recent version of Adobe Acrobat Reader). English Translation, Synonyms, Definitions and Usage Examples of Spanish Word ‘útero de Couvelaire’.

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A recent study also examined the relationship between smoking and preeclampsia and between smoking and preeclampsia superimposed on chronic hypertension.

Pathology of pregnancychildbirth and the puerperium O— Abruptions have occurred after seemingly minor maternal injuries. Medically indicated preterm birth: However, it is important to remember that a normal heart rate tracing on admission in a patient with suspected abruptio placentae is not a cause for complacency.

The responsible members of the anesthesia and pediatric departments should be informed of the patient’s status. Malattie della gravidanza Ginecologia e ostetricia.

Unfortunately, the management of such patients remains difficult because there is no good prospective way to predict if and when an abruption might occur. Therapeutic Plan In contrast to the more conservative trend that characterizes the management of placenta previa, management of abruptio placentae has for the most part become more aggressive.

Br J Obstet Gynecol This classic picture was first described by Couvelaire as uteroplacental apoplexy. National trends in the incidence of abruptio placentae, — Per vaginal examination revealed fresh bleeding from the uterine cavity.

This website also contains material copyrighted by 3rd parties. Folic acid enhances remethylation of homocysteine to methionine and vitamin B6 is a cofactor for cystathionine-beta synthase activity, which converts homocysteine to cystathionine. The documentation of this pathologic picture was continued by others and finally culminated in with Holmes’ extensive survey of the literature, which included new cases. The intense compensatory vasoconstriction that results may yield a blood pressure within or above normal range, but it does so at the expense of decreased tissue perfusion in other areas of the body, and the patient is orthostatic.


Elevated second trimester maternal serum alpha-fetoprotein associated with up to a fold increased risk of abruption. Conseguentemente all’estesa emorragia e al consumo dei fattori della coagulazione, le pazienti sviluppano uno stato di shock emorragico e possono andare incontro ad exitus.

Couvelaire uterus

NumberOctober ; Accessed: Retroplacental blood utsro penetrate through the thickness of the uterine wall into the peritoneal cavity, a phenomenon known as Couvelaire uterus.

In a patient with severe abruption, a tracing that shows a fetal bradycardia similar in rate to the maternal heart rate should have the fetal rhythm confirmed by ultrasonography. Acta Obstet Gynecol Scand Acute fatty liver of pregnancy Gestational diabetes Hepatitis Utero de couvelaire Hyperemesis gravidarum Intrahepatic cholestasis of pregnancy. Previous abruptions increased the risk for subsequent abruptions significantly, with an odds ratio of 3. Cocaine use in pregnancy.

A complete workup should be performed in suspected cases, including a sufficient period of maternal and fetal observation, along with fetal heart rate monitoring.

Because hypertension has been shown to cause arteriolar degeneration, the compromised afferent blood supply to the placenta has been emphasized.

J Formos Med Assoc Proc Inst Med Chic With advances in ultrasound technology and recognition of fine detail, the diagnosis of placental abruption by targeted ultrasonography should not be a diagnosis of exclusion. By using this site, you agree to the Terms of Use and Privacy Policy. If a cesarean delivery is to be performed, the patient should be receiving fluids, oxygen, and replacement products.

Blood chemistry and renal function in abruptio placentae. The route of delivery for patients with placental abruption and a viable fetus generally should be by rapid cesarean delivery unless vaginal delivery can be expected promptly.


The incidence of abruption has been increasing in the United States and in other western societies. However, these also may be related to premature delivery secondary to the abruption itself.

Si caratterizza per emorragia massiva che da retro-placentare, penetra ed infarcisce il miometrio fino allo spazio intra- peritoneale.

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Other facts to keep in mind to further improve the diagnostic accuracy of detecting abruptions on ultrasound include the following: Four or five units can be administered, with the need for further therapy dictated by laboratory testing. Am J Obstet Gynecol.

In abruptio placentae, disruption of this balance can occur. The occurrence of abruption may not be able to be predicted based on the severity of abdominal trauma. Patients with placental abruption most commonly present with the triad of abdominal pain, abnormal uterine tenderness, and vaginal bleeding after the 20th week of pregnancy. In summary, vascular disease plays a predisposing role in the disruption of the placental bed in some abruptions.

Am J Obstet Gynecol Fibrinolytic problems in abruptio placentae are mostly secondary, with progressive activation of the system occurring only after an initial phase of intravascular coagulation.

Reproductive risk factors, Doppler findings, and outcome of affected births in placental abruption: Vaginal bleeding usually follows, covuelaire the presence of a concealed hemorrhage in which the blood pools behind the placenta is possible.

Pregnant patients with antiphospholipid antibody syndrome, which involves two antibodies lupus anticoagulant and anticardiolipin antibody that are believed to cause thrombosis, may experience not only recurrent pregnancy loss, preeclampsia, and intrauterine growth restriction but also placental abruption.

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