Maternal Hemorrhagic Causes & Disorders/3rd Trimester: Abruptio placenta

Question 1

Placenta abruptio

Answer 1

Placenta abruptio is the separation of the placenta (the organ that nourishes the fetus) from its attachment to the uterus wall before the baby is delivered.

Question 2

Placenta abruptio s/s (3)

Answer 2

Symptoms
Abdominal pain
Back pain
Frequent uterine contractions
Uterine contractions with no relaxation in between
Vaginal bleeding

Question 3

Placenta abruptio diagnostics/Labs: (4)

Answer 3

Exams and Tests
Abdominal ultrasound
Complete blood count
Fetal monitoring
Fibrinogen level
Partial thromboplastin time
Pelvic exam
Platelet count
Prothrombin time
Vaginal ultrasound

Question 4

Placenta abrupt Treatment: (4)

Answer 4

Treatment may include fluids through a vein (IV) and blood transfusions. The mother will be carefully monitored for symptoms of shock. The unborn baby will be watched for signs of distress, which includes an abnormal heart rate.

An emergency cesarean section may be needed. If the baby is very premature and there is only a small placental separation, the mother may be kept in the hospital for close observation. She may be released after several days if the condition does not get worse and any bleeding stops.

If the fetus is developed enough, vaginal delivery may be done if it is safe for the mother and child. Otherwise, a cesarean section will be done.