Retroplacental Haematoma/Haemorrhage

  • Robert W. Bendon


The microscopic findings associated with retroplacental haematoma/haemorrhage include blood cells and acute inflammation in the basal decidua and the changes of infarction in the overlying placenta. Abnormalities in spiral arteries are described. Histologic changes can estimate the duration of the retroplacental haemorrhage from occurrence to delivery of the placenta.


Retroplacental haematoma Placental abruption Spiral artery 


  1. 1.
    Bendon RW. Review of autopsies of stillborn infants with retroplacental hematoma or hemorrhage. Pediatr Dev Pathol. 2011;14:10–5.CrossRefGoogle Scholar
  2. 2.
    Mooney EE, al Shunnar A, O’Regan M, Gillan JE. Chorionic villous haemorrhage is associated with retroplacental haemorrhage. Br J Obstet Gynaecol. 1994;101:965–9.CrossRefGoogle Scholar
  3. 3.
    Boe F. Vascular changes in premature separation of the normally implanted placenta: a preliminary report. Acta Obstet Gynecol Scand. 1959;38:441–3.CrossRefGoogle Scholar
  4. 4.
    Dommisse J, Tiltman AJ. Placental bed biopsies in placental abruption. Br J Obstet Gynaecol. 1992;99:651–4.CrossRefGoogle Scholar
  5. 5.
    Robertson WB, Khong TY, Brosens I, De Wolf F, Sheppard BL, Bonnar J. The placental bed biopsy: review from three European centers. Am J Obstet Gynecol. 1986;155:401–12.CrossRefGoogle Scholar
  6. 6.
    Sexton LI, Hertig AT, et al. Premature separation of the normally implanted placenta; a clinicopathological study of 476 cases. Am J Obstet Gynecol. 1950;59:13–24.CrossRefGoogle Scholar
  7. 7.
    Salafia CM, Lopez-Zeno JA, Sherer DM, Whittington SS, Minior VK, Vintzileos AM. Histologic evidence of old intrauterine bleeding is more frequent in prematurity. Am J Obstet Gynecol. 1995;173:1065–70.CrossRefGoogle Scholar
  8. 8.
    Gruenwald P, Levin H, Yousem H. Abruption and premature separation of the placenta. The clinical and the pathologic entity. Am J Obstet Gynecol. 1968;102:604–10.CrossRefGoogle Scholar
  9. 9.
    Elsasser DA, Ananth CV, Prasad V, Vintzileos AM, New Jersey-Placental Abruption Study Investigators. Diagnosis of placental abruption: relationship between clinical and histopathological findings. Eur J Obstet Gynecol Reprod Biol. 2010;148:125–30.CrossRefGoogle Scholar
  10. 10.
    Harris BA Jr, Gore H, Flowers CE Jr. Peripheral placental separation: a possible relationship to premature labor. Obstet Gynecol. 1985;66:774–8.PubMedGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Robert W. Bendon
    • 1
  1. 1.Norton Children’s HospitalLouisvilleUSA

Personalised recommendations