Placental abruption occurs when the placenta detaches from the endometrium. Complications include fetal growth restriction, preeclampsia, placental abruption, pre-mature births, and stillbirth. Smoking tobacco increases pregnancy complications including low birth rate, prematurity, placental abruption, and intrauterine death. The risk of placental abruption increases sixfold after severe maternal trauma. Complications may include disseminated intravascular coagulation, placental abruption, and kidney failure. Complications in the mother may include placental abruption and postpartum endometritis. Placental abruption is the separation of the placenta from the uterus. Additionally, pregnant women may experience placental abruption, pre-term labor, and uterine rupture. Miranda's second pregnancy was complicated by placental abruption and heart failure. Sarah is rushed to hospital with a placental abruption and needs an emergency Caesarean. The medications used to treat Pamela caused a severe placental abruption. Todd named Billy, died shortly after being born prematurely following a placental abruption. They marry and Janine then suffers a placental abruption. Placental abruption occurs in about 1 in 200 pregnancies. Detachment causes antepartum haemorrhaging at the location of abruption.