Obstetrics - Placental Abruption Flashcards
1
Q
Placental Abruption?
What is it?
A
Is the cause of antepartum haemorrhage
Vaginal bleeding <24 wks gestation
Remembered as PVC2:
- P - Placental abruption
- P - Placenta praevia
- V - Vasa praevia ( babies’ blood vessels cross or run near the internal opening of the uterus. These vessels are at risk of rupture when the supporting membranes rupture)
- V - Vaginal infection
- C - Cancer of the cervix
- C - Cervicitis
2
Q
Placental Abruption?
Risk factors?
A
Remember as OH PIPS:
- O - over distended uterus
- H - Hypertension
- P - Eclampsia
- I - Intra-uterine growth restriction
- P - Past history of placental abruption
- S - Smoking history
3
Q
Placental Abruption?
Symptoms?
Investigations?
A
Symptoms:
- Vaginal Bleeding
- Severe Abdo pain
- Systemic Shock
- Wooden uterus on palpation
Investigations:
- CTG - Cardiotocography
- BLood tests: FBC, U&E, group & save
- Radiology - USS for placenta praevia
4
Q
Placental Abruption?
Treatment?
Complications?
A
Medical:
- Emergency treatment: admission, crossmatch and
- blood transfusion
- Consider delivery
- Give mother steroids to encourage lung development
Complications:
- Fetal death
- intra-uterine growth restrictions
Maternal DADS:
- D - Death
- A - Acute kidney injury
- D - Disseminated intravascular coagulation/multi-organ failure
- S - Shock
