pr7_placentalabruption

Placenta Abruption is a significant complication of the Placenta that occurs during Pregnancy. It occurs when the lining of the placental detaches from the uterus.

Placenta Abruption can also referred to as abruptio placenta

It is a condition that is overall very rare – but when it occurs it can be a common cause of both maternal and fetus mortality. It is a real concern as a cause for vaginal bleeding during pregnancy.

Can be seen in more then 1% of pregnancies.

Symptoms:

–  Vaginal bleeding
–  Abdominal pain
–  Uterus pain
–  Abdominal Contractions
–  Abdominal cramping
–  Back pain

Causes:

–  Trauma
–  Car Accidents
–  Falls
–  Hypertension
–  Difficulty with bleeding disorders
–  Short umbilical cord  [Unusually short]

Diagnosis:

–  Ultrasound is a common and very helpful procedure to help diagnosis
–  Physical Exam
–  Blood work may be helpful to rule out Placenta Abruption

Complications:

–  Fetal distress
–  Premature birth
–  Brain damage for child
–  Severe bleeding for pregnant mother
–  Clotting difficulties for mother
–  Shock for mother

Classifications

1.) Grade 0 – No symptoms – only finding postpartum
2.) Grade 1 – Vaginal bleeding and some pain – No distress
3.) Grade 2 – Symptoms – No shock for mother – Some fetal distress
4.) Grade 3 – Severe bleeding – Shock is present – Fetal death occurs

Treatment

1.)  Delivery of the fetus

2.)  Monitoring if no distress and less then 35 weeks

3.)  Blood volume replacement

4.)  Vaginal  birth if allowed

5.)  C-section typically in emergencies

6.)  Close monitoring of both fetus and mother following delivery for several days

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