Placental abruption Flashcards
1
Q
What is placental abruption?
A
Early separation of placenta from uterine wall
2
Q
When does placental abruption most often happen?
A
~25 weeks
3
Q
What are the types of placental abruption?
A
Revealed- haemorrhage apparent externally
Concealed- haemorrhage between placenta and abdominal wall
Mixed
4
Q
What are the risk factors for placental abruption?
A
Pre-eclampsia, hypertension Multiple pregnancy Parity Previous abruption Polyhydramnios Increasing age
5
Q
What is the presentation of placental abruption?
A
Constant abdo pain
Hard and tender uterus
Contractions and increased uterine activity
Vaginal bleeding- can be inconsistent with patient’s shock
Decreased foetal movement and HR
6
Q
What is the management of placental abruption?
A
Early, mild= monitor, bed rest
Severe= induction of labour, C section
7
Q
What are the possible complications of placental abruption?
A
Maternal shock MAternal DIC Renal failure Foetal death PPH
