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Placental Abruption
- causes and risk factors
- signs, symptoms, and diagnosis
- pathophysiology
- treatments
- consequences and course
- the patient
- health care team
- community involvement
- resources and references
Occur in 1:150 deliveries
Causes and Risk Factors
Risk factors include:
- trauma
- maternal hypotension
- smoking
- increased parity
- cocaine use
- PPROM
- thrombophilia
- previous abruption (10x risk)
- multiple gestation
- polyhydramnios (smaller uterine surface a
Signs, Symptoms, and Diagnosis
- history
- physical exam
- lab investigations
- diagnostic imaging
History
Vaginal bleeding in >80%
abdominal pain in >50%
contractions
most often presents with mild vaginal bleeding and tenderness
Severe, lowlying pain
There can be less bleeding than suspected if the placenta is lowlying
Physical Exam
Lab Investigations
Diagnostic Imaging
Abruption is usually a clinical diagnosis, though it can also be visible on ultrasound
Pathophysiology
Treatments
Close monitoring of mother mother and baby are necessary.
Stabilize
bloodwork
Consequences and Course
The Patient
Health Care Team
Community Involvement
Resources and References