Obstetrics Flashcards
what is a chorionic haematoma?
pooling of blood between chorion and endometrium, due to their separation
what is the chorion?
outermost layers of embryo
features of chorionic haematoma?
bleeding
cramp
threatened miscarriage
Ix for chorionic haematoma?
US
Tx for chorionic haematoma?
surveillance
self limiting
what is antepartum haemorrhage?
bleeding after 24wks gestation
what is placenta previa?
placenta is partial/totally implanted in lower uterine segment
Rx for placenta previa?
smoking multiple preg abortions infertility Tx increased age
features of placenta previa?
painless
soft non tender uterus
baby in abnormal position
3rd trim bleeding
Ix for placenta previa?
TVUS (NO PV EXAM UNTIL IT IS EXCLUDED)
Tx for placenta previa?
caesarean if placenta covers os
anti D and steroids if bleed <36wks
what is placenta accreta?
placenta has invaded myometrium
what is placenta percreta?
placenta has invaded serosa
what is placental abruption?
partial/total separation of placenta before birth of fetus
Rx for placental abruption?
pre eclampsia renal disease diabetes smoking drugs