Sakornbut et al listed risk factors for placental abruption. These can help to identify a patient who may benefit from closer monitoring. The authors are from Family Health Center (Waterloo, Iowa), University of New Mexico and University of Minnesota.

Risk factors for placental abruption:

(1) chronic hypertension

(2) multiparity

(3) pre-eclampsia

(4) history of previous abruption

(5) short umbilical cord

(6) thrombophilia

(7) smoking

(8) cocaine or methamphetamine substance abuse

(9) abdominopelvic trauma (blunt, sudden deceleration)

(10) uterine fibroids

(11) unexplained elevation in serum maternal alpha feto-protein (AFP) concentration

(12) sudden decompression of an overdistended uterus

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