Module 8 (Exam 3) Abruptio Placentae Flashcards Preview

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Flashcards in Module 8 (Exam 3) Abruptio Placentae Deck (8)
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1

Abruptio Placentae

 

Seperation of a normally implanted placenta before the fetus is born. Occurs in about 1 in 200 pregnancies. Results in 10-15% of perinatal deaths.

2

Abruptio Placentae is more common in:

  1. Maternal hypertension (vessels contracted)
  2. Smoking and drug use (cocaine) (vasoconstrictor)
  3. Multiparity
  4. Short umbilical cord
  5. Abdominal trauma
  6. PROM
  7. Previous abruptions
  8. Advanced maternal age
  9. Coagulopathies

3

Classficiations of Abruptio Placentae

  1. Concealed hemorrhage
  2. Apparent (visible) hemorrhage

4

Concealed Hemorrhage

Central or partial seperation in the middle of the placenta

5

Apparent (visible) Hemorrhage

 

  1. Marginal or partial: seperation at the edge of the placenta
  2. Complete: total seperation of the placenta

6

Signs and Symptoms of Abruptio Placentae

 

  1. Bleeding
  2. Uterine tenderness and irritability
  3. Uterus is rigid, "boardlike" to palpation
  4. Abdominal or low back pain
  5. High uterine resting tone
  6. Signs of hypovolemic shock (c-section)
  7. Non-reasurring EFM
    1. Late decelerations, decreased variability, bradycardia

7

Therapeutic Management of Abruptio Placentae

  1. Hospitalization
  2. Conservative management: IVs, EFM with IUCP, bed rest, tocolytics, steriods to mature fetal lungs
  3. Emergent Management: C-section, Rhogam

8

Previa VS Abruption

  1. Onset quiet & varied (p) VS sudden and stormy (a)
  2. Bleeding present (p) VS may be concealed (a)
  3. Pain only in labor (p) VS severe and stead (a)
  4. Uterine tenderness absent (p) VS present (a)

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