Flashcards in Placental Abruption Deck (10)
Placental abruption in which bleeding occurs completely behind the placenta (no external bleeding)
Fetal blood enters maternal circulation
Couvelaire uterus? Visible sign.
Bleeding into the myometrium of the uterus from placental abruption
Results in discolored (reddish) appearance to the uterine surface
Placental abruption: suggestive signs upon delivery? Post delivery?
Blood clot adhering to placenta
Uterine atony, postpartum hemorrhage
Coagulopathy in placental abruption secondary to? Not encountered unless?
Hypofibrinogenemia; level less than 150
Risk factors for placental abruption?
2. Drugs - Smoking, Cocaine
3. Short umbilical cord
4. Trauma (Motor vehicle accident)
5. Uterine problems - Uteroplacental insufficiency, Submucosal leiomyoma, Uterine decompression,
6. Preterm premature rupture of membranes
Clinical features that are suggestive of placental abruption?
1. Painful vaginal bleeding (homework)
2. Preterm labor
4. Fetal heart rate abnormalities
Lab suggestive of placental abruption? Specific test?
Fetal erythrocytes in maternal blood
Kleihauer-Betke test – exploits difference in solubilities of normal and fetal hemoglobin to measure fetal erythrocytes in maternal blood
Management? Describe labor?