Placental Abruption

Question 1

What is it happening when there is a premature separation of the placenta from the myometrium of the uterus?

Answer 1

-Placental abruption

Question 2

Predisposing factors to a placental abruption?

Answer 2

• APH prior to 20wks & after
• Chronic hypertension
• Thrombophilia
• Prev abruption - IVF
• FGR - FV
• smoking - cocaine & P

Question 3

Signs of a Placental Abruption

Answer 3

• Vaginal bleeding, although there might not be any.
• Abdominal pain.
• Back pain.
• Uterine tenderness or rigidity.
• Uterine contractions, often coming one right after
  another

Question 4

Do you need to refer under the maternity guidelines if so what category?

Answer 4

• Yes

- Consultation

Question 5

As a LMC you receive a phone call of a wahine who is 37wks, Vaginal bleeding, constant abdominal pain what are you actions.

Answer 5

• Hospital Assessment
• Ask her to take photo of pad if changed or bring it.
• Palpation if possible
• CTG
• Sight blood/photo
• Consult