Mercifully, serious abruptions are rare, happening in less than 1% of pregnancies. They can happen with no obvious identifiable risks. The risk factors making it more likely include trauma (such as car accident or falling on your abdomen), high blood pressure, smoking and use of street drugs such as cocaine or ecstasy. Abruptions are more common if you have a multiple pregnancy or diabetes. If you have had an abruption before, then you have a higher risk of having one again compared to a woman who hasn''t had an abruption. Test.