Evidence map›Paper›PMID 40462801›Full record

ArticleCureus2025

Hidden Preeclampsia Leading to Placental Abruption and Disseminated Intravascular Coagulation.

Nivedita Biju, Corinne Backer

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Nivedita BijuObstetrics and Gynecology, A.T. Still University, Saint Louis, USA.
Corinne BackerObstetrics and Gynecology, Mercy Health, Saint Louis, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Placental abruption is a life-threatening obstetric emergency, often associated with hypertensive disorders such as preeclampsia. This study describes a 28-year-old multiparous woman at 36 weeks and four days of gestation who presented with contractions without any overt signs of preeclampsia. Despite an initial blood pressure of 130/85 mmHg, fetal bradycardia and uterine tachysystole prompted an emergency cesarean section. Intraoperative findings confirmed placental abruption, and postoperative laboratory results revealed significant proteinuria, confirming undiagnosed preeclampsia. Postpartum complications included severe hemorrhage exceeding 2000 mL, progressing to disseminated intravascular coagulation (DIC), which required aggressive resuscitation, a massive transfusion protocol, and intensive care management. This case emphasized the challenge of diagnosing "hidden" preeclampsia, the variability of placental abruption presentations, and the importance of early recognition and intervention. Clinicians should maintain a high index of suspicion for atypical presentations of preeclampsia to mitigate adverse maternal and fetal outcomes.

Indexed as

atypical preeclampsiadisseminated intravascular coagulation (dic)eclampsia managementemergency obstetricsplacental abruptionpostpartum hemorrhage (pph)preeclampsia

Identifiers

PMID40462801
PMCPMC12133109

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.