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    Abruption is the separation of the placenta from the uterus before delivery, which causes painful bleeding inside the uterine cavity. It can be classified as marginal, partial, or total. Common causes include cocaine use, hypertension, smoking, short umbilical cord, trauma, premature rupture of membranes, and history of previous separation. Symptoms may include bleeding, uterine tenderness, back/abdominal pain, and signs of hypovolemia in the mother as well as a nonreassuring fetal heart rate pattern. Management involves monitoring the cardiovascular status of the mother and condition of the fetus, with delivery by c-section for severe cases and possible interventions for mild cases.

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    Abruption is the separation of the placenta from the uterus before delivery, which causes painful bleeding inside the uterine cavity. It can be classified as marginal, partial, or total. Common causes include cocaine use, hypertension, smoking, short umbilical cord, trauma, premature rupture of membranes, and history of previous separation. Symptoms may include bleeding, uterine tenderness, back/abdominal pain, and signs of hypovolemia in the mother as well as a nonreassuring fetal heart rate pattern. Management involves monitoring the cardiovascular status of the mother and condition of the fetus, with delivery by c-section for severe cases and possible interventions for mild cases.

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    5 views1 page

    Abruptioplacentae Largechart

    Uploaded by

    Jbl2328
    Abruption is the separation of the placenta from the uterus before delivery, which causes painful bleeding inside the uterine cavity. It can be classified as marginal, partial, or total. Common causes include cocaine use, hypertension, smoking, short umbilical cord, trauma, premature rupture of membranes, and history of previous separation. Symptoms may include bleeding, uterine tenderness, back/abdominal pain, and signs of hypovolemia in the mother as well as a nonreassuring fetal heart rate pattern. Management involves monitoring the cardiovascular status of the mother and condition of the fetus, with delivery by c-section for severe cases and possible interventions for mild cases.

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    © All Rights Reserved
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    of 1

    AbruptionAbruptioplacentae

    Patho:
    Separationofthe
    Placentabefore
    delivery
    Painfulbleeding
    becauseitsinside
    ofthecavity
    Classificationof
    bleeding
    Marginal
    Partial
    Total

    Causesof:
    CocaineUsemost
    commonshehas
    seen
    MaternalHTN
    Cigarettesmoking
    Shortumbilical
    cord:umbilicalcord
    beingpulled
    Trauma
    PROMpremature
    ruptureof
    membrane
    Historyofprevious
    separation

    Manifestations
    BleedingTypes
    portwinecolorforamnioticfluid
    Uterinetenderness
    Uterineirritability
    Lowbackorabd.Pain
    Highuterinerestingtone
    Other
    IfbleedingisconcealedotherS&Syoumay
    see
    increasedfundalheight
    fundusandabdomenharden/boardlike
    highuterinetone,notcomingdownto
    resting
    Hypovolemia:lowBP,tachycardia,
    weakandthreadypulses,decreased
    UOP,capillaryrefilldelayed,cooland
    clammyskin
    Lowintensitycontractions
    Nonreassuringpatternlate
    decelerations,decreaseinvariability,
    decreaseinHR
    onastripyouwillseehighamplitudewaves

    MajorConcerns
    Womanfeels
    powerlessand
    frightened
    Fetalhypoxia
    KnowrHfactor

    Assessment2PATIENTS
    Natureofbleeding
    Pain
    Maternalandfetalvital
    signs
    Conditionoffetus
    Contractions:howfar
    apart,loworhighintensity
    Obstetrichistory
    Historyofthis?
    Lengthofgestation
    gestationalage
    Labdata:cbc,coagulation,
    chemistrypanel
    Ultrasound:determine
    whetheritisplacenta
    previaorabruptio,
    Ultrasoundtoruleout
    previa
    youcantseeabruption
    onultrasoundtoomuch
    blood

    Management
    Emergency:
    needtogoto
    ERand
    admitted
    FocusonCV
    statusof
    Motherand
    conditionof
    fetus
    Mildcondition
    Delivery

    Formild
    abruptionthey
    willdo
    interventions,if
    itsnotcsection
    rightaway

    Interventions
    Monitorforhypovolemic
    shock
    Monitorfetus
    Promotetissueoxygenation
    Collaboratewithhealth
    careproviderforfluid
    replacement
    Preparemotherforsurgery
    Emotionalsupport

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