Placental Abruption Flashcards
1
Q
what is placental abruption?
A
separation of normally sited placenta from the uterine wall –> maternal haemorrhage into the intervening space
2
Q
what are the associated factors for placental abruption?
A
- proteinuric HTN
- cocaine use
- multiparity
- maternal trauma
- increasing maternal age
3
Q
what are the clinical features of placental abruption?
A
- shock out of keeping with visible loss
- pain constant
- tender, tense uterus
- normal lie and presentation
- fetal heart: absent/distressed
- coagulation problems
- beware pre-eclampsia, DIC, anuria
