Third Trimester Bleeding Flashcards

1
Q

why would vaginal delivery be contraindicated in placenta previa?

A

catastrophic bleeding could occur due to disruption of blood vessels as cervix dilates

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2
Q

Why is patient at risk for placenta accreta with multiple prior c sections?

A

scar tissue from previous surgery prevents proper implantation of the placenta, so it subsequently grows into the myometrium

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3
Q

what is vasa previa?

A

rare condition where umbilical cord inserts into the membranes and the exposed vessels are over the cervix

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4
Q

What are common presenting signs of placental abruption?

A

abdominal pain, bleeding, uterine hypertonus, and fetal distress

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5
Q

What are risk factors for placental abruption?

A

smoking, cocaine use, chronic hypertension, trauma, prolonged rupture of membranes and history of prior abruption

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6
Q

What is in Cryoprecipitate?

A

fibrinogen, von Willebrands, Factor VIII, and XIII, and fibronectin

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