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Placenta Abruptio
Alternate Names : Abruptio Placentae, Placental Abruption, Ablatio Placentae, Accidental Hemorrhage, Premature Separation of Placenta
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What are the treatments for the condition?
This condition is usually an emergency and requires
treatment right away. Measures will be taken to keep the mother
and infant healthy. This might include:
immediate and continuous internal fetal monitoring of the infant
IV fluids
monitoring of vital signs, such as blood pressure, heart rate, and urine output
"watchful management" if the fetus is not in distress, the mother's
vital signs are stable, and labor is not in motion. Some small abruptios
will stop bleeding on their own.
vaginal delivery if the infant and mother are stable
cesarean section
if the mother and infant are unstable
blood transfusion
if signs of shock
are present
What are the side effects of the treatments?
Because the treatments for this condition may be life-saving,
the potential side effects should be weighed against the loss of life. It
may take longer for a woman to recover from major abdominal surgery
involved in a cesarean section.
Risks for any surgery include bleeding, infection, and
allergic reaction
to the anesthesia.
What happens after treatment for the condition?
After delivery, the woman will be watched closely for signs
of continued bleeding. This entails monitoring frequent
CBCs,
evaluating clotting times, and watching vital signs. The surviving infant
will likewise be observed in the intensive care unit.
How is the condition monitored?
If a woman is pregnant
and develops any of the signs of this condition, she should call her
doctor right away.
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Author: Eva Martin, MD Reviewer: Kathleen A. MacNaughton, RN, BSN Date Reviewed: 11/06/02
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