Placental abruption with certified fetomaternal hemorrhage a
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Abstract
We report a case of patients with placental abruption which certified fetomaternal hemorrhage after traffic injury. A 21-year-old multipara was admitted to private clinic after traffic accident on 29th week gestation. Cardiotocogram
showed sinusoidal-like pattern with tachycardia and she was transferred to our hospital. Her injury was also not severe, but due to abnormal CTG suggesting massive FMH, immediate cesarean section was performed. The infant was saved with the umbilical cord artery blood pH=7.243, and a maternal good postoperative course was observed. FMH was proved by maternal serum concentrations of hemoglobin F and alpha fetoprotein.

Introduction
Maternal trauma including traffic accident is a well-known cause of the placental abruption. Placental abruption is not only a major cause of fetal death and cerebral palsy worldwide, but also lead to massive hemorrhage and severe disseminated intravascular coagulation syndrome on mother, maybe due to uncontrollable coagulation and fetomaternal hemorrhage. The reason of the disease is not simple, including uterine contraction, pregnancy induced hypertension, placentation failure or uterine malformation....


https://www.jstage.jst.go.jp/article/jsshp/2/1/2_33/_html
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