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obstetrics_abruptio placentae (intrauterine death (shock and DIC, shock:…
obstetrics_abruptio placentae
investigations
CBC, LFTRFT, clotting (cross-match)
(retroplacental clot) USG
CTG
history
abdominal pain
x fetal movement
antepartum hemorrhage
physical examination
general
BP/pulse, temperature, SaO2
abdominal
(uterine tenderness, woody hard uterus) (fetal lie, presentation, engagement)
vaginal
cervical dilation, liquor and blood
intrauterine death
shock and DIC
shock: resuscitation
deliver
DIC: placcked cell, platelet, fresh frozen plasma
induction of labour (amniotomy, synctocinon)
post-partum hemorrhage (prophylaxis: IM synctometrine)
placeta: retroplacental clot, histology
dead fetus: post-mortem exam
counselling
alive
Caesarean section
resusciation
breathing
oxygen mask
circulation
2 large bore IV cannulas
monitor input/output with Foley catheter
airway
patent
definition
placenta detaches from uterus
fetal
hypoxia, death
preterm delivery
maternal
PPH (uterine atony)
disseminated intravascular coagulopathy
hemorrhage, shock
risk factors
maternal
past history
multiparity
pre-eclampsia
smoking
sudden compression of uterus
fetal
multiple preganancy
polyhydamnios