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Placental abruption
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what is placental abruption?
premature separation of a normally situated placenta occurring after 22 weeks gestation
when does placental abruption occur?
occurring after 22 weeks of pregnancy
where does bleeding occur?
between the placenta and wall of the uterus
where the placenta has detached from the uterine wall
placental abruption accounts for how many of all cases of antepartum haemorrhage?
30% of all cases
what may placental abruption be?
revealed or concealed
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
what are the symptoms of of placental abruption?
CONTINUOUS SEVERED/ SUDDEN ABDOMINAL OR BACK PAIN
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
Clinical sign- warning bleed
PP- Yes
PA- no
Clinical sign- abdominal pain
PP- usually painless
PA- Yes- sudden continuous severe/ back pain
Clinical sign- blood loss colour
PP- bright red, fresh blood
PA- dark red/ brown
Clinical sign- degree of shock
PP- proportional to loss
PA- disproportional to loss
Clinical sign- consistency of uterus
pp- soft, non tender
PA- tense, hard, woody, no sign of relaxation
Clinical sign-abdominal girth
PP- equal to gestation
PA- possibly increase due to blood loss
what should you take to hospital?
blood soaked pads
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Author
davidgoddard93
ID
346970
Card Set
Placental abruption
Description
Placental abruption
Updated
2019-05-14T17:35:20Z
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