Abruptio Placenta

Question 1

• premature separation of a
normally implanted
placenta from the uterine
wall before the fetus is
born

• Occurs in cases of
bleeding and formation of
hematoma(clot) on
maternal side of the placenta

Answer 1

Abruptio placenta

Question 2

Risk factors

Answer 2

• maternal use of COCAINE
• maternal hypertension
• maternal cigarette smoking
• multigravida status
• multiple gestation, hydramnios

Question 3

Pathophysiology of Abruptio Placenta

Answer 3

1.) Unknown risk factors
2.) Bleeding formation of hematoma
3.) Expansion of hematoma
4. Separation on of placenta
5.) Obliterates intervillous Spaces
6.) Results in either fetal and maternal bleeding or Decreased placental perfusion

Question 4

1.) Major damages for the woman

2.) Major dangers for the fetus

Answer 4

1.) Hemorrhage and consequent hypovolemic shock and clotting abnormalities

2.) Asphyxia excessive blood loss and prematurity

Question 5

Types of abruptio placenta

Answer 5

1.) Marginal Abruptio placenta (Visible bleeding)

2.) Central Abruptio ( Concealed bleeding)

3.) Complete abruptio placenta

Question 6

• Uterus turns entirely blue
because the muscle fibers
are filled with blood

• Uterus contracts poorly after
birth

• Necessitates hysterectomy

Answer 6

Couvelaire Uterus