Placental abruption is a condition during pregnancy when the placenta separates from the uterus. Symptoms can include bleeding and abdominal pain, especially during the third trimester.The cause is unknown in most cases, but risk factors may include maternal high blood pressure, abdominal trauma and substance misuse.
5. COMPLICATION
Placental abruption cause life-threatening problems for
both mother and baby.
For the mother, placental abruption can lead to:
1. Shock due to blood loss
2. Blood clotting problems
3. The need for a blood transfusion
4. Failure of the kidneys or other organs resulting from
blood loss
5. Rarly, the need for hysterectomy, if uterine bleeding
can’t be controlled
For the baby, placental abruption can lead to:
1. Restricted growth from not getting enough nutrients
2. Not getting enough oxygen
3. Premature birth
6. SHER CLASSIFICATION
STAGE - 1/TYPE
-1
1. Blood seen only after
delivery
2. Pt. Stable
3. Fetal heart rate normal
4. Uterus contract
notmally
STAGE – 2/TYPE
- 2
1.Blood seen during
labour
2.Uterine tetany
3.Fetal heart rate →
Normal
STAGE – 3/TYPE
- 3
1. Before delivery
bleeding start
2. Most severe
3. Uterine tetany,
bleeding
4. Fetal distress, death
of fetus
9. MANAGEMENT/TREATMENT OF
ABRUPTION
Condition - 1
Abruption at term(>37 week)
• If baby stable
• Mother is stable→ No C-Section → Only C-Section when
fetal distress occur
↓
← So normal delivery as fast as poss
If pt. With Abruption
Artificial rupture of membrane
10. CONDITION -2
Abruption at 32 weeks{Lung is not mature}
1. Resuscitation
2. Steroid
3. Sedation, rest
Blood clot
↓
Tissue thromboplastin
↓
Enter in circulation
↓
Trigger extrinsic coagulation
Cascade
↓
Coagulopathy
↓
DIC
↓
Death
So don’t conserve, because it is Abrupti
↓
Then Artificial rupture of membrane
+
Steroid
