Answer: If previous delivery resulted in placental abruption it might have the risk of having again . All cases of suspected placental abruption, regardless of severity, should be closely monitored to protect the health and safety of the mother and child. This monitoring is usually done in hospital and should include regular checks of the vital signs of both mother and baby. Treatment depends on the severity of the condition but may include: Mild cases, earlier in pregnancy – if the baby isn’t distressed and if the vaginal bleeding stops, you may be allowed to go home and rest. See your doctor for regular check-ups and if your condition changes. Moderate cases, earlier in pregnancy – you may need to stay in hospital until the baby is old enough for the doctor to safely induce labour. The doctor may recommend medicines to help the baby’s lungs mature more quickly prior to birth. Mild to moderate cases, later in pregnancy – at 36 weeks’ gestation or more, the doctor may recommend delivery. A vaginal birth may be possible. However, if the placenta separates further from the wall of the uterus during labour, the doctor may switch to immediate delivery via caesarean section. Severe cases – immediate delivery is the safest treatment. The mother may require supportive care. Heavy maternal bleeding may be treated with a blood transfusion or emergency hysterectomy or both. Back to top Prevention While it is impossible to prevent placental abruption, the risk can be reduced. Suggestions include: Avoid all substances during pregnancy including cigarettes, alcohol, medicines (unless prescribed by your doctor) and street drugs. Control high blood pressure. Consult with your doctor for information, advice and treatment. Reduce your risk of trauma – for example, wear a seatbelt when travelling in a car and avoid the possibility of falls. Talk to your doctor if you have had placental abruption in a previous pregnancy. Take folic acid as recommended by your doctor or midwife.