Placental abruption

  1. what is placental abruption?
    premature separation of a normally situated placenta occurring after 22 weeks gestation
  2. when does placental abruption occur?
    occurring after 22 weeks of pregnancy
  3. where does bleeding occur?
    • between the placenta and wall of the uterus 
    • where the placenta has detached from the uterine wall
  4. placental abruption accounts for how many of all cases of antepartum haemorrhage?
    30% of all cases
  5. what may placental abruption be?
    revealed or concealed
  6. what are the risk factors for placental abruption?
    • previous 
    • PIH/ pre eclampsia 
    • trauma 
    • multiple pregs 
    • multiparity 
    • threatened miscarriage earlier in current preg 
    • smoking and substance abuse
    • previous C section 
    • intrauterine infection 
    • polyhydramnios
  7. what are the symptoms of of placental abruption?
    • placental abruption commonly have concealed bleeding but may also have revealed bleeding 
    • there is a risk of underestimating the amount of blood loss 
    • 50ml of revealed blood loss in preg is considered significant 
    • tender abdomen- rigid or woody,no signs of relaxation
  8. Clinical sign- warning bleed
    • PP- Yes 
    • PA- no
  9. Clinical sign- abdominal pain
    • PP- usually painless 
    • PA- Yes- sudden continuous severe/ back pain
  10. Clinical sign- blood loss colour
    • PP- bright red, fresh blood 
    • PA- dark red/ brown
  11. Clinical sign- degree of shock
    • PP- proportional to loss 
    • PA- disproportional to loss
  12. Clinical sign- consistency of uterus
    • pp- soft, non tender 
    • PA- tense, hard, woody, no sign of relaxation
  13. Clinical sign-abdominal girth
    • PP- equal to gestation 
    • PA- possibly increase due to blood loss
  14. what should you take to hospital?
    blood soaked pads
Card Set
Placental abruption
Placental abruption