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  • Hemorrhage Ee

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    Nelly Astika
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    Placental abruption and placenta previa are two causes of ante partum hemorrhage. Placental abruption occurs when the placenta separates from the uterine wall before delivery and can cause external or concealed bleeding. Risk factors include hypertension, grand multiparity, cocaine use, and premature rupture of membranes. Placenta previa is when the placenta implants over or near the cervical opening and can cause painless vaginal bleeding. Management of placental abruption involves delivering the baby, usually via c-section if the fetus is alive or vaginally if the fetus has died.

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    Placental abruption and placenta previa are two causes of ante partum hemorrhage. Placental abruption occurs when the placenta separates from the uterine wall before delivery and can cause external or concealed bleeding. Risk factors include hypertension, grand multiparity, cocaine use, and premature rupture of membranes. Placenta previa is when the placenta implants over or near the cervical opening and can cause painless vaginal bleeding. Management of placental abruption involves delivering the baby, usually via c-section if the fetus is alive or vaginally if the fetus has died.

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    8 views7 pages

    Hemorrhage Ee

    Uploaded by

    Nelly Astika
    Placental abruption and placenta previa are two causes of ante partum hemorrhage. Placental abruption occurs when the placenta separates from the uterine wall before delivery and can cause external or concealed bleeding. Risk factors include hypertension, grand multiparity, cocaine use, and premature rupture of membranes. Placenta previa is when the placenta implants over or near the cervical opening and can cause painless vaginal bleeding. Management of placental abruption involves delivering the baby, usually via c-section if the fetus is alive or vaginally if the fetus has died.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
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    Download as ppt, pdf, or txt
    of 7

    Ante Partum Hemorrhage

    1. Placental abruption Placental separation from its implantation site before delivery has been variously called placental abruption. The hemorrhage involved in placental abruption includes: external hemorrhage & concealed hemorrhage

    Etiology:

    Maternal hypertension

    Grand multiparity
    Premature rupture of membranes Short umbilical cord Bad habits (smoking, drugs) History of placenta abruption Extreme of maternal age Cocaine use

    Clinic:
    - Pain in abdomen in the point of abruption - Uterine tenderness and hyperactivity - Changes of fetal movement (intrauterine hypoxia)

    - Uterine size > dates


    - Vaginal bleeding: dark blood because of retention

    Management:
    Delivery should be effected: - Fetus alive caesarean delivery preferable - Fetus not alive vaginal delivery preffered. Unless hemorrhage is life threatening

    2. Placenta Previa
    used to describe a placenta that is implantation over or very near the internal cervical os

    Total placenta previa Partial placenta previa Marginal placenta previa Low lying placenta

    Risk factor:

    Advancing maternal age

    Multiparity
    Prior cesarean delivery Smoked cigarattes Painless hemorrhage Recurrent vaginal bleeding

    Clinical finding:

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