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Detached placenta risks of obesity – Maternal pre-gravid body weight and risk for placental abruption among twin pregnancies

Article Navigation. Seven of the 10 found that infants with more rapid early growth had a higher risk of later obesity than infants with normal growth.

William Murphy
Monday, September 10, 2018
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  • Risk reduction for placental abruption was noted among obese women with detsched or low weight gain during pregnancy. Since there were missing values, especially for country of birth and parity, all analyses were re-run using multiple imputation to predict a value for all variables with missing values, using the default settings in the R package mice [ 33 ].

  • Google Preview. Using a massage chair while pregnant is generally considered to be safe.

  • Controls were collected both among women with planned cesarean section and at the delivery ward.

  • Table 6.

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Researchers have also linked a number of adverse maternal and infant health outcomes related to maternal obesity e. Among children whose mothers received treatment for gestational diabetes, the risk was lower, about equal to that of children whose mothers had less severe glucose intolerance. Although debate lingers over whether breastfeeding protects against childhood obesity, breastfeeding has many other proven health benefits for infants and their mothers, and it should be promoted regardless of its relationship to childhood obesity. Medically reviewed by Peggy Pletcher, M. This is the most common type of retained placenta.

Urine that detavhed bad or looks cloudy or reddish. What's this? Lancet London, Detached placenta risks of obesity. This demonstrates that substantial and important information is missed when obesity is examined as a homogeneous entity. The influence of maternal race on the risk for PTB has been demonstrated in many studies [ 22 — 24 ].

Our results suggest that obesity may decrease the risk of abruption—particularly for women who maintain a moderate level of weight gain during pregnancy 0. Folic acid and multivitamin supplement use and risk of placental abruption: a population-based registry study. We created a dichotomous variable for primigravida from the gravidity variable. Conclusion Approximately one fourth of the effect of obesity on the risk of stillbirth in term pregnancies is explained by umbilical cord associated pathology. For higher-order categorical outcome variables, unadjusted and adjusted odds ratios aOR were approximated with the relative risk ratio RRR using multinomial logistic regression models. The umbilical coiling index and adverse perinatal outcome. And how does it affect their chances of survival?

Placenta previa is more common in women who:. While this result may seem initially contradictory to the finding that Black women, compared to White mothers, were at an increased risk of placental abruption, and that there was a trend with severity of prematurity, this perspective highlights preterm birth frequency issues. Evidence of placental abruption as a chronic process: associations with vaginal bleeding early in pregnancy and placental lesions. J Pediatr. Approximately one fourth of the effect of obesity on the risk of stillbirth in term pregnancies is explained by umbilical cord associated pathology. Sign in to download free article PDFs Sign in to access your subscriptions Sign in to your personal account. The unadjusted and adjusted odds ratios were then transformed to aRRs based on the methods described by Zhang and Yu.

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A deatched review by Baird and colleagues in looked at 10 studies of detached placenta risks of obesity weight-gain patterns and later obesity risk. Smoking while pregnant puts both you and your fetus at risk. Micronutrients and reproductive health issues: an international perspective. More severe separation happens in only about one out of to 1, deliveries. Am J Obstet Gynecol.

We found only one paper that examined abruption in terms of obesity and morbid obesity. Sunyer obesity J Epidemiol. Frequency of stillbirth occurring after 20 weeks' gestation among women with abruption was 5. Parity was categorized as nulliparous, 1 through 3 pregnancies, and more than 3 pregnancies. Amongbirths to Black mothers andbirths to White mothers, 1. Shen, T. A study analyzing cause-specific stillbirth from gestational week 16, stratified by maternal BMI, identified placental dysfunction, umbilical cord complications and hypertensive disorders as important risk factors for stillbirth in obese women [ 14 ].

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What is happening in week 23 of your pregnancy? Placental abruption. The baseline detxched of selected socio-demographic characteristics of obese and normal weight women were compared. Article PubMed Google Scholar 9. LJM has made substantial contributions to conception and design, and has been involved in revising the manuscript critically for important intellectual content.

Adjusted odds ratios generated from generalized estimating equations for riwks regression models were used to approximate relative risks. A doctor diagnoses placental abruption by conducting a physical exam, and often by performing an ultrasound. Modifiable determinants of fetal macrosomia: role of lifestyle-related factors. Methods: We used the Missouri maternally linked cohort files years J Am Coll Nutr. Duration of breastfeeding and risk of overweight: a meta-analysis. Women regularly have their concerns ignored during birth.

PTB as defined by the Risks obesity Health Organization is delivery at less than 37 weeks gestational age[ 26 ]. Table 4 Relative contribution of placental abruption to preterm birth in Riskx compared to White women stratified analysis Full size table. Advanced Search. BJOG: an international journal of obstetrics and gynaecology. Chorioamnionitis stage 2 or signs of maternal circulatory disorders did not significantly modify the effect of obesity on the risk of term stillbirth Table 4. Article Google Scholar. The risk of umbilical cord thrombosis increases with a hyper coiled cord; both of which may impair cord blood flow and increase the risk of stillbirth [ 18 ].

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If you've had abdominal trauma — from an auto accident, fall or other injury — seek immediate medical help. Institute of Medicine. Detachment of the Placenta During Pregnancy 4 minutes. Associations of early life risk factors with infant sleep duration. The initiation and duration of breastfeeding may influence obesity in later life, although this is a controversial area of research.

Some women obesity bacteria in their bladder without having symptoms. Growth-restricted neonates were further divided into preterm or term delivery. Women with placental insufficiency may notice less fetal movement and a smaller uterus size than before. Since the cohort analysis compares Black and White racial contributions i. If obese women, like underweight women, do not have adequate nutrient intake, then we would have expected to see an increased risk of placental abruption, not a decreased risk.

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Related articles in Web of Science Google Scholar. Google Detached placenta risks of obesity. Nutrition during pregnancy: part I: weight gain, part II: nutrient supplements. The initiation and duration of breastfeeding may influence obesity in later life, although this is a controversial area of research. But the underlying causes of stillbirth remained unknown in as many as half of stillbirths. In these cases, the fetus is usually expelled naturally. You could be feeling tired in the morning for any number of reasons, from not getting enough sleep to dehydration.

Medically reviewed by Debra Rose Wilson, Ph. Rogers I. The majority of normal weight women had moderate weight gain Adjusted odds ratio for placental abruption among mothers giving birth to singleton by obesity subclass, Missouri —

Introduction

Article Contents Abstract. Changes in appetite, sleep, and energy. Br J Obstet Gynaecol.

Introduction Stillbirth is the main contributor to perinatal death in high income countries. Louis, St. Detached placenta risks of obesity our analysis pertaining to antecedent clinical presentations for preterm delivery Table 5we excluded term pregnancies in which the woman had undergone tocolysis. A lower proportion of Black mothers reported cigarette use during pregnancy see Table 2.

Abruption was associated with an 8. Black women have an increased risk of placental abruption compared to White women, even when controlling for known coexisting risk factors. The study population comprised 53, singleton births. Some types of body fat decrease the amount of gray brain matter.

Who is most at risk for placental abruption?

Adjusted odds ratios generated from generalized estimating equations for logistic risks models were used to approximate relative risks. Perhaps the greatest strength of this study is the focus on severity of obesity, and the impact of gestational weight gain on placental abruption. Receive exclusive offers and updates from Oxford Academic. Several of the proposed risk factors for placental abruption e. Medically reviewed by Deborah Weatherspoon, Ph.

The cases of placental abruption among obese mothers comprised among mothers with Class 1 obesity placental abruption rate of 7. View Metrics. Int J Epidemiol. A simplified score for assessment of fetal maturation in newly born infants. Skip to main content.

This might have had an impact on our findings. Placentas were weighed trimmed, without membranes and umbilical cord, after fixation. In addition, plafenta difference in relative contribution of placental abruption between term and preterm gestations suggests heterogeneity in clinical pathways between these two importantly different birth outcomes. All occurrence analyses were adjusted for clustering in siblingships as identified by a unique siblingship number, by which births to the same mothers were identified.

Why does this happen?

This can decrease or block the baby's supply of oxygen and nutrients and cause heavy bleeding in the mother. If you have high blood pressure, work with your health care provider to monitor the condition. Obesity Epidemiology.

In addition, the difference in relative contribution of placental abruption dehached term and preterm gestations suggests heterogeneity in clinical pathways between these two importantly different birth outcomes. The extravasation of blood at the placental margin may lead to decidual necrosis, which, in turn, could initiate the production of prostaglandin, thereby leading to preterm labor. Our website uses cookies to enhance your experience. Abstract Background Efforts to elucidate risk factors for placental abruption are imperative due to the severity of complications it produces for both mother and fetus, and its contribution to preterm birth. The smooth terms were based on the restricted cubic spline smoothing procedure. On the other hand, normal weight gravidas were more likely to be white, married and to smoke during pregnancy.

However, the reality was much worse. Detached placenta risks of obesity us on. Continue Reading Below. However, analyses stratified by weight gain during pregnancy indicated that reduced risk was limited to obese women with low or moderate weight gain during pregnancy, although the analyses by subclass of obesity were only statistically significant for women with moderate weight gain.

  • The large sample size also permits sufficient statistical power for subgroup analysis of a relatively rare outcome in various gestational age categories. Furthermore, the incidence of cord complications and chorioamnionitis is increased in obese women [ 1415 ], which may jeopardize fetal health.

  • We did not have information on the severity of the condition, thus it is not included in the analyses. Overall, they reported a very good agreement

  • European journal of public health.

  • Ross also notes that retained placenta during a C-section is likely placenta accretaand can be dangerous and the most difficult to treat. However, severity of obesity may be an important consideration—particularly as our previous research has demonstrated a dose—response relationship between severity of obesity and one adverse pregnancy outcome, stillbirth Salihu et al.

Trends in adult body-mass index viver pi sunyer obesity countries from to a pooled analysis of population-based measurement studies with Download citation. The review of SMM cases provides an opportunity to identify points of intervention for quality improvements in maternal care. Obesity is an independent risk factor for plasma lipid peroxidation and depletion of erythrocyte cytoprotectic enzymes in humans.

Black women, smokers, and drug abusers were all at increased risk for abruption. What's this? Medically reviewed by Holly Ernst, P. Other maternal risk factors considered obestiy cigarette smoking, alcohol use, pre-gestational diabetes, chronic hypertension, gestational hypertension, and chronic renal disease. Your pregnancy at week A new review of studies investigating placenta consumption, however, has failed to uncover any scientific evidence for these benefits, or that the practice is risk-free. The etiology of placental abruption is still relatively unknown, but could be multifactorial Ananth et al.

Childhood Obesity

Pressure in your lower belly. But some infections can be harmful to you, your baby, or both. Placentas from women with live born infants, the controls, were collected during two time periods. We also observed that the relative risk increase for placental abruption for Black mothers was greater at earlier gestational age categories, compared to White mothers.

Your health care provider will check your iron levels throughout pregnancy. Vasculitis was defined as presence of leukocytes obesity vessel walls in the chorionic plate or umbilical cord. Some types of body fat decrease the amount of gray brain matter. However, the risk for preterm delivery was increased substantially even among women with milder abruptions. Placental infarcts are more commonly experienced by women with severe high blood pressure. Placentas from women with live born infants, the controls, were collected during two time periods. Reprints and Permissions.

Associations between body mass index and the prevalence of low micronutrient levels among US adults. Ultrasound is a good method for detection of abnormal cord insertion, although a larger proportion of abnormal cord insertions were correctly identified during the second trimester detached placenta risks of obesity to the third trimester [ 4142 ]. Placentas from women with live born infants, the controls, were collected during two time periods. Your health care provider will likely test your urine in early pregnancy to see if this is the case and treat you with antibiotics if necessary. This cohort includes Primary cause of term stillbirth; lean and obese women. Preterm birth was defined at less than 35 weeks of gestation, in order to decrease the effects of miscoding error and misclassification bias of borderline gestational ages.

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Read This Next. Placental abruption among singleton and twin births in the United States: risk factor profiles. This degree of placental abruption — marked by significant blood loss and complications to you and your baby — usually requires immediate delivery, often by cesarean. Overall, cases of placental abruption were registered among normal weight and obese women during the entire study period. Article Contents Abstract.

Maternal cigarette smoking as a risk factor for placental abruption, placenta previa, and uterine bleeding in pregnancy. Medically reviewed by Seunggu Han, M. Our main outcome of interest, placental abruption, was defined as the complete or partial separation of the placenta before delivery. P -value. Am J Obstet Gynecol. Publication types Research Support, Non-U. It is possible that alterations in metabolic pathways in the obese state, which have been demonstrated, compensate for a relative under consumption of micronutrients Olusi, ; Kimmons et al.

The association between abruption and clinical manifestations of preterm delivery revealed stronger aRRs among those with spontaneous preterm detached placenta risks of obesity as the precipitating cause. We conducted a population-based cohort study on the remaining singleton live births for the occurrence of placental abruption, and its relation to racial, SES and maternal medical factors. Model 5. Naeye RL. We would also like to thank Anette Niklasson, Annica Westlund and Dragana Knesevic at the Section of Pathology at Huddinge hospital for their invaluable contribution of preparation of all the placentas. Download references.

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Thoughts that life is not worth living. This occurs in 1 in pregnancies. Furthermore, detachdd proceeded to estimate the relative contribution of placental abruption to PTB in Black and White mothers, testing the hypothesis that there is a greater contribution of placental abruption to the increased risk of PTB in Black mothers, compared to White mothers.

Placental Abruption During Pregnancy. Please whitelist our site to get all the best deals and offers from our partners. Advanced Search. Little did I know then, it would take over a month and a half to be diagnosed with retained placenta. The cases of placental abruption among obese mothers comprised among mothers with Class 1 obesity placental abruption rate of 7. Model 1. While women of all races are at risk, Black women like myself are at a multiplied risk for complications and even death.

My research had prepared me ohesity the intellectualization of birth-related pain. Development of the matched multiple birth file, matched multiple birth obesity. The etiology of placental abruption is still relatively unknown, but could be multifactorial Ananth et al. Placental abruption also called abruptio placentae is the early separation of the placenta the fetal support systemwhich provides baby with nutrients and oxygen from you via the umbilical cord from the uterine wall during pregnancy, rather than after delivery. Abstract Background: Data on extreme obesity and placental abruption are scarce. It is possible that alterations in metabolic pathways in the obese state, which have been demonstrated, compensate for a relative under consumption of micronutrients Olusi, ; Kimmons et al. Abruptio placentae.

What is placental abruption?

Overview Placental abruption Open pop-up dialog box Close. In a prospective cohort study of children, infants detached placenta risks of obesity slept fewer than 12 hours a day had double the odds of being overweight at age 3, compared with infants who slept more than 12 hours a day. In utero development exhibits sexual dimorphism with the male fetus at greater risk of poor outcome. Placental abruption, defined as the premature separation of the placenta, is an important birth outcome that is associated with high maternal and infant morbidity and mortality Naeye et al. This demonstrates that substantial and important information is missed when obesity is examined as a homogeneous entity.

The incidence of abruption increased with increasing parity, although an association with maternal age was not apparent Table 1. Interestingly, there appears to be evidence for heterogeneity in the clinical pathways of placental abruption in term and preterm gestations, with acute inflammation more prevalent at preterm than term gestations, and chronic processes present throughout gestation [ 8 ]. Abruptio placentae. In contrast, the proportion of Black mothers with placental abruption delivering at late preterm, very preterm, or extreme preterm birth gestation ages was lower than White mothers see Table 4. Placental infarcts are more commonly experienced by women with severe high blood pressure. Symptoms of preeclampsia include excessive weight gain, edemaheadachesand high blood pressure. Low dose aspirin therapy to prevent preeclampsia.

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The cause of placental abruption is often unknown. The consequence is a lack of oxygen to the baby. Uma Detached placenta risks of obesity. Overall, we found that obese mothers were more likely to be older, black, multiparous, educated and to have received adequate prenatal care than normal weight gravidas. Mayo Clinic, Placental AbruptionJanuary Medically reviewed by Meredith Wallis, M.

Feelings of worthlessness, vetached, or detached placenta risks of obesity. Mental Health Conditions Some women experience depression during or after pregnancy. These observations may conflict with the hypothesis that placental abruption may be caused by a poor micronutrient intake as previous studies suggest that obese women do not have adequate levels of micronutrients, although altered metabolic pathways are still possible Kimmons et al. Rent this article from DeepDyve. To secure that the group of women with obesity was large enough, the controls collected between and were based on BMI.

Symptoms of detachment of the placenta during pregnancy

Medically reviewed by Katie Hurley — Written by A. Role of trace elements zinc, copper and magnesium during pregnancy and its outcome. Previous authors have also noted that the risk of placental abruption is elevated in underweight women, a situation that may be explained by inadequate energy intake and vitamin and mineral deficiencies Williams et al. The treatment for placental abruption depends upon the severity of the abruption.

Detacjed your bleeding seems to have stopped or slowed, your doctor detached placenta risks of obesity send you home. More on this topic Weight gain in pregnancy. Normal weight mothers were significantly more likely to experience placental abruption and anemia. Another such complication is abruption of the placenta, in which the placenta separates from the wall of the uterus. Obesity is associated with reduced risk for placental abruption when the weight gain during pregnancy is moderate. Interesting Articles. Placental Abruption During Pregnancy.

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Crit Care Clin. Skip directly to site content Skip directly to page options Skip directly to Plscenta link. Detached placenta risks of obesity impact of the obesity epidemic on women of reproductive age is also substantial; one in four women of reproductive age, and over half of the women aged 20—39 are considered overweight or obese Cogswell et al. PloS one. International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics. The maternal socio-demographic characteristics included: maternal age, parity, race, education, marital status, smoking habits and adequacy of prenatal care.

More on this topic Weight gain in pregnancy. This study aimed to determine the association between pre-pregnancy weight and placental abruption and whether pregnancy weight gain impacts detacher risk. Frequency of stillbirth occurring after 20 weeks' gestation among women with abruption was 5. If you are receiving treatment for a health problem, your health care provider might want to change the way your health problem is managed. Urine that smells bad or looks cloudy or reddish. Statistical analysis Data were analyzed using Stata SE 9. Major risk factors for stillbirth in high-income countries: a systematic review and meta-analysis.

Detachment of the placenta during pregnancy is one of the most serious situations that placfnta arise, risks obesity the baby may not receive the oxygen or nutrients he needs. Model 2. In: Hu FB, ed. If the placenta separation is slight, there is usually little danger to the mother or baby as long as treatment is prompt and proper precautions are taken.

Introduction

However, severity of obesity may be an important consideration—particularly as our previous research has demonstrated a dose—response relationship between severity of obesity and one obesity pregnancy outcome, stillbirth Salihu et al. The blood-rich placenta is joined to the uterine wall and connects to the baby by way of the umbilical cord. Additional information Competing interests The authors declare that they have no competing interests. Cande V. Virtually all cases of stillbirth in the Stockholm region are included in the Stockholm Stillbirth database.

All possible predictive models will lead to investigations or extra surveillance of a large number of women among whom very few will suffer from stillbirth. Several recent obesity gene studies for PTB have also supported the case for genetic contributions [ 34 — 38 ]. A higher-than-normal BMI was associated with significantly more prenatal fetal tests, obstetrical ultrasonographic examinations, medications dispensed from the outpatient pharmacy, telephone calls to the department of obstetrics and gynecology, and prenatal visits with physicians. Additionally, this study only includes term stillbirths who probably are identified and diagnosed closer to the actual time of death than preterm stillbirths. The frequency of placental abruption in these preterm birth categories increased as gestational age at birth decreased for both Black mothers and White mothers see Table 4. Naeye RL.

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Nesting During Pregnancy. Although underweight and overweight women were excluded from analyses, placental abruption rates by BMI status are summarized in Figure 1. The women in the Missouri cohort data file were followed for a relatively long period of time 9 years. OR, adjusted odds ratio. Share on Pinterest.

Adjusted odds ratio for placental abruption among mothers giving birth to singleton risks obesity obesity subclass, Missouri — The detachee characteristics and prevalence of common obstetric complications of obese and normal weight women are presented in Table I. We used the Missouri maternally linked cohort files years — This consists of a rupture in a vein in the lower part of the placenta.

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Table 2. Placentas were weighed trimmed, without membranes and umbilical cord, after fixation. Model placenta could reveal how pathogens reach an unborn child. Acta Obstet Gynecol Scand. Search ADS.

Advertising revenue supports our not-for-profit mission. Hear from three mothers, who share their harrowing birth stories that…. Mild placental abruption at 34 weeks or greater. Fetal Health. NIH Research Matters.

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Other maternal risk factors considered included cigarette smoking, alcohol use, pre-gestational diabetes, chronic hypertension, gestational hypertension, and chronic renal disease. Association of chorangiomas to hypoxia-related placental changes in singleton and multiple pregnancy placentas. We chose to exclude fetal deaths in utero, because it likely represents a group of complicated births having different pathological mechanisms unrelated to placental abruption. Association between placental pathology and neonatal outcome in preeclampsia: a large cohort study. The findings on placental abruption noted here have clinical and public health implications. Browse Subject Areas?

What is placental abruption? It occurs in 1 out of pregnancies nationwide. Rogers I. Ludwig DS, Currie J. Breastfeed preferably without other liquids for months and some breastfeeding for at least 12 months. SalihuH. Washington, D.

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The results were unchanged data not shown. Placental abruption rates by BMI status detached placenta risks of obesity detachfd giving birth to singletons, Missouri, — Advertising revenue supports our not-for-profit mission. In those relatively rare situations where gestational age based upon menstrual estimates was inconsistent with the recorded birthweight at delivery e. Crude frequency comparisons between obese and normal weight women were performed for the presence of common obstetric complications, namely, anemia, insulin-dependent diabetes mellitus, other types of diabetes mellitus, chronic hypertension, pre-eclampsia and eclampsia.

Hear Her Campaign. Overall, cases of placental abruption were registered among normal weight and obese women during the entire study period. But some infections can be harmful to you, your baby, or both. Perinatal Outcomes.

My research obesity prepared me og the intellectualization of birth-related pain. All rights reserved. Follow her on Facebook and Twitter. Using a massage chair while pregnant is generally considered to be safe. I was lucky I got a diagnosis when I did. American Journal of Perinatology. Several risk factors have been proposed and include maternal smoking, cocaine and drug use, multiple gestations, advanced maternal age, multiparity, chronic hypertension, pre-eclampsia, anemia, gestational diabetes, premature rupture of the membranes, oligohydraminios, intrauterine infection, polyhydraminios and chorioamnionitis Ananth et al.

Edinburgh; New York: Churchill Riska, Treatments will also depend on how far along you are in your pregnancy. We restricted our analyses to singleton live births within the range of 20—44 weeks of gestational. To save time and money, some hospitals are turning to C-sections instead of natural births. Trabajo de fin de grado.

Background

We can further the development of evidence-based public health prevention with improved sources of maternal health data, and methods for measuring and studying the data. The funding agency did not play any role in any aspect of the study. Abruptio placentae and placenta previa. PloS one.

What are the symptoms of placental abruption? Placental abruption. Follow her on Facebook and Twitter. It almost always occurs in the second half of the pregnancy, most often in the third trimester.

Research on determination of degree of coiling in utero is scarce, however ultrasound may be a possible method [ 28 ]. Placental insufficiency. Urine that smells bad or looks cloudy or reddish. The risk of stillbirth was dramatically increased for severe placental separation, but preterm delivery was common even among women with lesser degrees of placental separation. Participants A total of 53, pregnancies occurring in 40, women who were delivered of singleton births between and

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