Disseminated
intravascular coagulation (DIC) is a serious blood-clotting problem. It occurs
in about 10% of women with
placenta abruptio. Most of the time, this is when
there is severe bleeding or a fetus dies from the abruption.1
In DIC, the body's natural ability to regulate blood clotting does
not function as it should. This causes the blood's clotting cells (platelets) to
clump together. These clumps clog small blood vessels throughout the body. This
excessive clotting can damage organs, destroys blood cells, and depletes the
supply of platelets and other clotting factors so that the blood is no longer
able to clot normally. This often causes widespread bleeding, both internally
and externally.
Transfusions of blood and other blood-clotting products, such as
platelets, are usually required when DIC complicates labour and
delivery.