Placenta Abruption

Question 1

What is placenta abruption ?

Answer 1

• Is a condition during pregnancy when the placenta separates from the womb (uterus)

Question 2

Symptoms?

Answer 2

• Vaginal bleeding
• Preterm contraction
• Abdominal pain
• Uterine tenderness
• Trauma

Question 3

Causes ?

Answer 3

• Previous placenta abruption
• Fetal male sex
• Trauma / violence
• Age ( less than 25, above 30 )
• Chorioamnionitis
• Smoking
• Cocaine
• Alcohol

Question 4

What are the types of placenta abruption ?

Answer 4

• Concealed —> blood behind placenta and doesn’t touch the cervix
• Revealed or ouvert —> blood goes out through cervix

Question 5

Risk factors?

Answer 5

• Hypertension
• Hypotension
• Maternal blunt trauma
• Tachycardia

Question 6

Management?

Answer 6

• Adequate blood transfusion
• Adequate analgesia for pain relief
• Monitoring of mother condition
• Assessment of fetal condition
• If the patient has hypotension, tachycardia, repetitive late DIC, tachycardia in fetus or mother, YOU GOT GET THE BABY OUT