Placental Dysfunction Flashcards
What are the 3 types of cord insertion?
Velamentous - blood vessel in the membranes
Bipartite/tripartite - 2/3 lobes with vessels going to both
Succunturiate lobe - an extra lobe –> dangerous as can cause a PPH, can be retained as not known about
Discuss polyhydramnios
1litre + of amniotic fluid
Baby isn’t swallowing water - ? Kidney problems
Noticed - measuring big for dates
Discuss oligohydramnious
<500mls of amniotic fluid
Measures small for dates
? Lungs not working
Can cause IUGR and congenital abnormalities
Aminoinfusion is a possibility
List some factors affecting growth
- Genes
- Maternal health
- Blood supply from the placenta
- Nutrition
Causes for small for dates…
- smoking
- sickle cell
- alcohol
- hypertension
- disease
What can true knot result in..
Restricted blood flow to the baby
If delivering the baby early due to placental dysfunction the ROM is…
X2 steroids
Blood gases
Monitor
Paed at delivery
