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Maternal consequences include hypovolemic shock, disseminated intravascular coagulation and, rarely, death.1 Neonatal consequences include preterm birth, acidosis, encephalopathy and severe respiratory disorder.4 5 Several risk factors for placental abruption have been reported including maternal age of 35 or older, multiparity, in vitro fertilisation embryo transfer pregnancy, hypertensive disorders of pregnancy (HDP) and maternal smoking exposure.1 6 7 Ananth et al reported in a meta-analysis that maternal smoking was associated with a 90% increase in the risk of placental abruption (OR 1.9

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