ABRUPTIO PLACENTAE

Question 1

abruptio placentae or also known as

Answer 1

PREMATURE SEPARATION OF THE
PLACENTA

Question 2

It is the premature separation of the normally
implanted placenta after the 20th week of
pregnancy, typically with severe hemorrhage

Answer 2

(ABRUPTIO PLACENTAE)

Question 3

Etiology

Answer 3

⚫ Multiparity,
⚫ preeclampsia,

Question 4

separates only at the edges
causing vaginal bleeding & a little pain

Answer 4

MARGINAL ABRUPTION

Question 5

may not
result in bleeding but increasing uterine irritability &
tenderness

Answer 5

CENTRAL (CONCEALED) ABRUPTION

Question 6

complete
separation from the uterine wall resulting in profuse
bleeding

Answer 6

COMPLETE SEPARATION (100%)

Question 7

Abruptio placentae
Assessment

Answer 7

⚫ Sharp, stabbing pain,

Question 8

⚫ if the placenta
separates first at the
center, blood pools
under the placenta & is
hidden from view;
⚫ blood then may
infiltrate uterine
muscles forming a
hard, board like uterus
with no apparent
bleeding

Answer 8

COUVELAIRE uterus
(UTEROPLACENTAL
APOPLEXY)

Question 9

Clinical diagnosis

Answer 9

symptomatic

Question 10

detects bleeding

Answer 10

Ultrasound

Question 11

decrease normal fibrinogen
results in the absence of normal blood coagulation

Answer 11

Hypofibrinogenemia:

Question 12

Complications

Answer 12

⚫ Hemorrhagic shock
⚫ Infection
⚫ Prematurity