Haemodynamically stable with mild bleeding and
no uterine contractions
Close observation vital signs & vaginal bleeding
Correction of anaemia
Steroids for fetal lung maturation
Counseled and prepared for Caeserian section
To prolong pregnancy till Term
Caeserian Section /
Profuse vaginal bleeding.
After 37 completed weeks of gestation.
If patients has palpable uterine contractions.
SURGEON / ANAESTHETIST
Complications of surgery & Anaesthesia
Post Partam hemorrhage
Morbidity / Mortality
separation of a
SIGNS & SYMPTOMS
Small separation of
the placenta :
Mild pain or discomfort.
Soft/ Tenderness ±
Large separation of the placenta:
Heavy vaginal bleeding.
Severe pain in the lower abdomen or back.
Hard, tender abdomen.
Shock (tachycardia, fall in BP rapid breathing, and dizziness).
Coagulopathy [DIC]) – Thromboplastine from
fetal heart sounds inaudible.
released into the mother's circulation causing blood clotting
Renal cortical necrosis
depends upon Hemorrhage.
Fundal height larger than dates
Hard and tender
Fetal Part and FHS
Exclude placenta praevia by USG
Mild marginal Abruption with stable mother &
Strict maternal & fetal monitoring.
If degree of separation is limited ,
After amniotomy & oxytocin infusion short labour is
Uncontrollable revealed hemorrhage
Rapidly expanding concealed hemorrhage
Vaginal delivery is not imminent
Alive fetus with reasonable chances of survival