Various factors may increase your risk of placental abruption, including:

Previous placental abruption. If you've experienced placental abruption before, your risk of experiencing it again is significantly higher. High blood pressure. High blood pressure whether chronic or a result of pregnancy increases your risk of placental abruption. Abdominal trauma. Trauma to your abdomen, such as from a fall or other type of blow to the abdomen, increases your risk of placental abruption. Substance abuse. Placental abruption is more common in women who smoke or use cocaine during pregnancy. Preterm premature rupture of the membranes. During pregnancy, the baby is enclosed in a sac filled with amniotic fluid, and the outer portion of this sac is referred to as amniotic membranes. If the membranes rupture early or if they develop a hole, your risk of placental abruption rises. Blood-clotting disorders. Any condition that impairs your blood's ability to clot increases your risk of placental abruption. Multiple pregnancy. Carrying twins, triplets or other multiples increases your risk of placental abruption. Previous pregnancies. The more times you've been pregnant, the higher your risk of placental abruption. Age. Placental abruption is more common in women age 35 and older.