pr7_placentalabruption

Placenta Abruption is a significant complication of the Placenta that occurs during Pregnancy.

Occurs when the lining of the placental detaches from the uterus.

Also referred to as abruptio placenta

Is a condition that is overall very rare – but when it occurs it can be a common cause of both maternal and fetus mortality.

A concerning cause for vaginal bleeding during pregnancy

Can be seen in more then 1% of pregnancies

Symptoms:

  • Vaginal bleeding
  • Abdominal pain
  • Uterus pain
  • 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

 

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

  • Delivery of the fetus
  • Monitoring if no distress and less then 35 weeks
  • Blood volume replacement
  • Vaginal  birth if allowed
  • C-section typically in emergencies
  • Close monitoring of both fetus and mother following delivery for several days
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