1 - thromboplastin time • Decreasing other serum clotting factors Ultrasonography relatively large retroplacental clots may be detected Placental

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ABRUPTIO PLACENTAE Lin Qi De
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Definition Abruptio Placentae( placental  abruption):           premature separation of the  normally implanted placenta from the  uterine wall.
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Etiology Mechanism: hemorrhage into the decidua  basalis, leading to premature placental  separation and further bleeding. Associated factors: Maternal hypertension Sudden decompression of the uterus Maternal cocaine use  trauma
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Classification Complete separation: no vaginal  bleeding Partial separation : vaginal bleeding  will be apparent Marginal separation : vaginal  bleeding will be apparent
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diagnosis Classic clinical presentation: vaginal bleeding Tender uterus Uterine contractions Fetal distress
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Coagulation abnormalities Hypofibrinogenemia Increaseing levels of fibrin degradation  products decreasing platelet count  Increasing prothrombin time and partial 
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Unformatted text preview: thromboplastin time • Decreasing other serum clotting factors Ultrasonography: relatively large retroplacental clots may be detected Placental examination The extent of placental abruption of the maternal surface of the placenta on which a clot is detect at the time of delivery. Management Maintain hemodynamic stabilization ( Transfusion therapy ) • Crystalloid transfusion • Whole blood therapy • Component therapy Correct coagulation status Delivery • When the fetus is mature,vaginal delivery is preferable unless there is evidence of fetal distress or hemodynamic instability. • When the fetus is not mature and placental abruption is limited,observation with close monitoring of both fetal and maternal status....
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This note was uploaded on 12/24/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

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1 - thromboplastin time • Decreasing other serum clotting factors Ultrasonography relatively large retroplacental clots may be detected Placental

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