Late Onset Pre Eclampsia Presenting with Abruptio Placentae; Case Report

Placental abruption is a leading cause of maternal morbidity and perinatal mortality worldwide. With a placental abruption, the woman is at risk for hemorrhage and the need for blood transfusions, hysterectomy, bleeding disorders specifically disseminated intravascular coagulopathy, renal failure, and Sheehan syndrome or postpartum pituitary gland necrosis. With the availability of blood replacement, maternal death is rare but continues to be higher than the overall maternal mortality rate. Neonatal consequences include preterm birth and low birth weight, perinatal asphyxia, stillbirth and neonatal death. In many countries, the rate of placental abruption has been increasing, even with improved obstetrical care and monitoring techniques. This suggests a multifactorial etiology which is not well understood.