Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
This is bleeding from the genital tract of a pregnant woman at any time from the 28th week of gestation to the birth of the baby (end of the second stage of labour) It is one of the major causes of maternal and fetal morbidity and mortality
Abruptio placenta
Associated factors Smoking excessively Folic acid deficiency Pre-eclampsia Trauma Sudden decompression of the uterus after fetal membrane rupture High parity
Abruptio placenta-Diagnosis
History: A high index of suspicion from history of sudden onset of abdominal pain (severe, diffuse, constant) with variable amount of haemorrhage Clinical signs: pt may be in shock in severe cases, or may be apparently normal. Signs: Look for pallor, hypotension (severe cases), hypertension, uterus tense and tender, abdominal tenderness; fetal demise Confirm diagnosis by : Ultrasound scan: 1 to rule out placenta praevia 2 for retroplacental clot
Hypovolaemic shock. This may lead to acute renal failure and renal shut down (both cortical and tubular necrosis) Fetal distress and fetal death Postpartum haemorrhage DIC