Placental_Abruption_Flashcards
What is the initial approach to managing placental abruption?
The initial approach is the ABCDE approach: gain 2x IV access, take bloods (FBC, Rhesus status, cross-match, and clotting screen), continuous fetal monitoring, Kleihauer test, and anti-D if needed. Provide fluid, antifibrinolytics, blood, or blood-product replacement as indicated.
What blood tests should be performed in the management of placental abruption?
Blood tests should include FBC, Rhesus status, cross-match, and clotting screen.
What should be done for Rh-negative women with placental abruption?
Give anti-D immunoglobulin to Rh-negative women.
What is the management decision if the fetus is alive and less than 36 weeks gestation with fetal distress?
If the fetus is alive and less than 36 weeks with fetal distress, perform an emergency C-section.
What is the management decision if the fetus is alive and less than 36 weeks gestation with no fetal distress?
If the fetus is alive and less than 36 weeks with no fetal distress, observe closely, give steroids, and do not use tocolysis. The threshold to deliver depends on gestation.
What is the management decision if the fetus is alive and more than 36 weeks gestation with fetal distress?
If the fetus is alive and more than 36 weeks with fetal distress, perform an emergency C-section.
What is the management decision if the fetus is alive and more than 36 weeks gestation with no fetal distress?
If the fetus is alive and more than 36 weeks with no fetal distress, trial vaginal delivery.
What is the management decision if the fetus is dead in cases of placental abruption?
If the fetus is dead, induce vaginal delivery.
