UPDATES ON THE MANAGEMENT OF PLACENTAL ABRUPTION AND ASSOCIATED ANXIETY: A SYSTEMATIC REVIEW

Abstract

Ahmed Baker A Alshaikh*, Fawaz E Edris, Farah Turki Mazen Alfuhigi, Wala Khaled Aif Alruwaili, Rawan Ghazi Alsharari, Razan Ghazi Alsharari, Norah Ahmad Monawer Alsayer and Hana Nasser Alkhalifah

Objectives: To review the published literature on the management (diagnosis and treatment) of placental abruption (PA).

Methods: We conducted a thorough search of PubMed, SCOPUS, Web of Science, and Google Scholar to find pertinent literature. Rayyan QRCI was utilized during the entire process.

Results: We included eight studies with a total of 1920 participants. One study stated that ultrasound was reported as the only method of diagnosis and confirmatory for PA while another reported that sonography is not sensitive enough to confirm PA. Two other studies demonstrated that MRI and CT are the confirmatory methods for PA diagnosis. Prompt delivery in PA cases may have saved the life of just one fetus. CS delivery was documented in five studies and ranged from 84.6% to 43.3%. Bleeding during delivery was considerably higher with cesarean delivery than during vaginal delivery. On the other hand, cases with vaginal deliveries had serious complications, including uterine rupture and maternal mortality. Both an intensive care unit and a blood transfusion were necessary for PA management.

Conclusion: One significant contributing factor to perinatal death and morbidity is still PA. Unfortunately, there is currently no way to accurately forecast or prevent abruption. Even with the advancements in medical technology, abruption diagnosis is still made clinically. Ongoing assessments of the mother's and fetus's health, careful consideration of the advantages and disadvantages of conservative care, and, where necessary, prompt delivery can all help to maximize the results for both the mother and the newborn