placental abruption Flashcards
1
Q
what
A
placenta separates from wall of uterus during pregnancy
significant cause of APH
2
Q
risk factors
A
previous placental abruption pre-eclampsia bleeding in early pregnancy trauma multiple pregnancy IUGR multigravida inc maternal age smoking cocaine
3
Q
presentation
A
sudden onset severe abdo pain vaginal bleeding shock CTG indicating fetla distress woody abdomen
4
Q
severity: spotting
A
spots of blood noticed on underwear
5
Q
severity: minor haeomorrhage
A
<50mls blood losee
6
Q
severity: major haemorrhage
A
50-1000ml blood loss
7
Q
severity: massive haemorrhage
A
> 1000ml blood loss
8
Q
concealed abruption
A
cervical os remains closed and bleeding remains within uterine cavity
9
Q
Mx - initial steps
A
call for help 2x grey cannula bloods crossmatch bloods CTG
