Abruptio Placenta

Abruptio Placenta in Pregnancy

By Sleat Desjards

Abruptio Placenta is the premature separation of normally implanted placenta in the third quarter. There are two types of placental abruption: the secret bleeding and external bleeding. With hidden bleeding, the placenta separates from the center, and has accumulated a large amount of blood in the placenta. If the external bleeding is present, the separation along the margins of the placenta, and blood flows through the membranes into the cervix.

Women at risk of developing Abruptio Placenta include those with a history of hypertension or placenta abruptio previous abdominal trauma during pregnancy, abnormalities of the umbilical cord, uterine fibroids, advanced maternal age, smoking and consumption of cocaine.

Complications include maternal shock, disseminated intravascular coagulation, and anaphylactic syndrome of pregnancy, childbirth bleeding, prematurity, maternal or fetal respiratory distress syndrome, Sheehan syndrome, renal tubular necrosis and fast delivery.

Hidden bleeding led to a change in maternal vital signs, but no visible bleeding is present. External bleeding, vaginal bleeding is evident with a change in maternal vital signs. Fetal heart rate can change, variability, depending on the degree of bleeding, tachycardia, late decelerations and decreased. Abdominal pain is usually present and also with nausea and vomiting. There is a rapid progression of labor.

What are the diagnostic assessments for Abruptio Placenta?

• The diagnosis is made on clinical guidelines and clinical signs and symptoms
• Ultrasound is done to rule out placenta previa, but it is not always sensitive enough to pick up a placental
• screen laboratory for testing rosette of erythrocytes in the blood of the mother for fetal cells in maternal circulation check

What is the collaborative management of Abruptio Placenta?

• bed rest in hospital, and monitoring of the fetus
• Management of hemorrhagic shock with intravenous fluids and blood transfusions
• Provision of information to the woman and her family on the cause and treatment of placental abruption
• Encourage the participation of the neonatal team in terms of education in relation to fetal or neonatal outcome
• monitoring the amount of bleeding by weighing all the pads and the presence or absence of pain
• Monitor maternal vital signs and fetal heart monitoring by external fetal
• monitoring the work of mothers
• Measure and record height of the uterus, which can increase the risk of bleeding with concealed
Hemoglobin and hematocrit
• Monitor blood loss

What are the support provides a placental?

• Encourage relaxation techniques like breathing exercises and image
• Inform the woman and her family on the status of the birth itself and the unborn child
• promoting the presence of a support person

Posted in Placenta Previa