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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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The likelihood of a normal neonatal outcome decreases with the severity of abruption. Maternal hypovolemia caused by extensive hemorrhage is manifested clinically by the cardinal signs of shock: The myometrium becomes weakened and may rupture due to the increase in intrauterine pressure associated with uterine cohvelaire.

Patients may have acute renal failure as a result of hypovolemia and vasospasm. Am J Obstet Gynecol. Signs can also be due to abruptio placentae including uterine hypertonus, fetal distress, fetal death, and rarely, hypovolaemic shock shock secondary to severe blood loss. Relationship between antepartum cocaine abuse, abnormal umbilical artery Doppler velocimetry, and placental abruption. Utero di Couvelaire Sindrome di Couvelaire. In less severe ds, the area of uterine tenderness and spasm varies and may be absent or confined to a limited area that often corresponds to the placental location.

In addition to pathologic involvement in the kidneys, necrotic lesions also may be found in the liver, adrenal glands, and pituitary gland. Patients can have pain secondary to uterine contractions, uterine tetany or localized uterine tenderness.

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The hemorrhage that gets into the decidua basalis ultimately splits the decidua, and the haematoma may remain within the utedo or may extravasate into the myometrium the muscular wall of the uterus.

Maternal tachycardia with orthostatic changes in BP and heart rate. 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.

Haemorrhagic utero de couvelaire in the ccouvelaire portions of the uter is also seen. Insertion of a Foley catheter provides additional information about the patient’s volume status and permits accurate evaluation of urine output.


These conditions share several similarities, as evidenced by uterine and umbilical Doppler studies, placental histology, and biochemical factors. Combined heterozygosity for methylenetetrahydrofolate reductase MTHFR mutations CT and AC is associated with abruptio placentae but not with intrauterine growth restriction.

Maternal trauma, whether sustained during an automobile accident, from falls, or from physical abuse, is a significant cause of abruptio placentae.

Chronic hypertension and risk of placental abruption: Is tocolysis safe in the management of third-trimester bleeding? Other suggested mechanisms are vasospasm of the supplying arteries caused by humoral serotonin release or reflex uterorenal factors.

Apoplessia utero-placentare – Wikipedia

National trends in the incidence of abruptio placentae, This website also contains material copyrighted by 3rd parties. In addition, none of the earlier studies separated chronic hypertension and preeclampsia and other types of hypertension to determine the risk for abruption. The highest maternal morbidity and mortality rates occur with severe cases of abruptio placentae. Resistance to activated protein C and the Leiden mutation: Acute volume loss initially may cause vasoconstriction, resulting in normal or elevated blood pressure.


Couvelaire uterus also known as uteroplacental apoplexy [1] is a life-threatening condition in which loosening of the placenta abruptio placentae causes bleeding that penetrates into the uterine myometrium forcing its way into the peritoneal cavity. Chorioamnionitis [ 5 ]. Early ambulation should be practiced: Despite routine screening of all donors, the risks of blood product replacement should not be taken lightly, because a risk of posttransfusion hepatitis exists.

Received salary from Medscape for employment. Pathology of pregnancychildbirth and the puerperium O— Wien Utero de couvelaire Wochenschr ; The fetus may be compromised if there is prolonged delivery because of the non-contractile uterus; severe bleeding may cause hypovolemic shock in the mother. Eur J Obstet Gynecol 6: Reporte de un caso.