Antipartum Heammorhage Flashcards

1
Q

WHAT IS ANTEPARTUM HAEMORRHAGE ?

A

GENITAL TRACT BLEEDING >24 OF GESTATION UNTIL LABOUR

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2
Q

SIGNS AND SYMPTOMS OF ANTEPARTUM HAEMORRHAGE CAUSED BY PLACENTA PRAEVIA ?

A

USUALLY PAINLESS BLEEDING / SOFT UTERUS

SIGNS OF HYPOVOLEMIA

CONDITION OF FETUS IS VARIABLE

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3
Q

ANTEPARTUM HAEMORRHAGE CAUSED BY PLACENTA PRAEVIA. WHAT ARE THE RISK FACTORS?

A

LOW LYING PLACENTA
PREVIOUS UTERINE SURGERY
IVF

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4
Q

ANTEPARTUM HAEMORRHAGE

SIGNS AND SYMPTOMS
PLACENTAL ABRUPTION

A

SIGNS OF HYPOVOLEMIA
CONSTANT SEVERE PAIN
“WOODY” ABDOMEN
CONCEALED / VISIBLE BLEEDING
FETAL COMPROMISE

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5
Q

ANTEPARTUM HAEMORRHAGE

RISK FACTORS
PLACENTAL ABRUPTION

A

PREVIOUS ABRUPTION
HYPERTENSION
PRE-ECLAMPSIA
COCAINE USE
ABDO-TRAUMA
SMOKING
GRAND MULTIPARITY
FETAL GROWTH RESTRICTION

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6
Q

ANTEPARTUM HAEMORRHAGE

UTERINE RUPTURE
SIGNS AND SYMPTOMS

A

CONTRACTIONS STOP
SUDDEN ONSET OF PAIN
FETAL COMPROMISE
VISIBLE FETAL PARTS ABDOMINALLY
CONCEALED/REVEALED BLEEDING
SIGNS OF HYPOVOLEMIA
BLOOD IN URINE

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7
Q

ANTEPARTUM HAEMORRHAGE

UTERINE RUPTURE
RISKS

A

PREVIOUS UTERINE SCAR
TRAUMA
HIGH PARITY
OBSTRUCTED LABOUR
OXYTOCIN

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8
Q

ANTEPARTUM HAEMORRHAGE

VASA PREVIA
SIGNS AND SYMPTOMS

A

PV BLEED POST MEMBRANE RUPTURE

NO PAIN

SEVERE FETAL COMPROMISE

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9
Q

ANTEPARTUM HAEMORRHAGE

RISK FACTORS
VASA PRAEVIA

A

LOW LYING PLACENTA
SUCCENTURIATE LOBE
VELAMENTOUS CORD INSERTION

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10
Q

MANAGEMENT OF ANTEPARTUM HAEMORRHAGE

A

LIE THE WOMAN IN LEFT LATERAL

CLINICAL OBSERVATIONS

SITE 2 LARGE BORE CANNULAS

URGENT BLOOD SAMPLE

RAPID FLUID RESUSCITATION WITH 2 LITRES OF CRYSTALLOID (IDEALLY WARM).

O-NEG BLOOD/FRESH FROZEN PLASMA

ASSESS FETAL WELL-BEING

EMOTIONAL SUPPORT

CLINICAL HISTORY

EBL- KEEP CLOTHES/PADS/SHEETS

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11
Q

SHOULD A PATIENT WITH A ANTEPARTUM HAEMORRHAGE BE TRANSFERRED? SHOULD YOU PRE-ALERT?

A

YES IMMEDIATELY AND DO A PRE-ALERT TO A MATERNITY UNIT.

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12
Q

WHAT IS THE MOST EFFECTIVE WAY OF CONTROLLING A BLEED WITH AN ANTEPARTUM HAEMORRHAGE

A

BIRTHING THE BABY AND THE PLACENTA.

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