Poor Placental Perfusion Universals
Signs/Symptoms
Diagnostics
Interventions
Abruption
Problems:
Abruption
Previa
HTN
Preeclampsia
Knife-like pain
Dark red bleeding
Uterine tenderness
Preeclampsia
Headache
RUQ Pain
r/t liver involvement
Hemolysis, Elevated Liver enzymes, Low platelets (HELLP)
Swelling hands/face
Placental Insufficiency
Late decelerations
Proteinuria
Placenta Previa
Bright red bleeding
Painless
Soft uterus
Rigid/Hard Uterus
Compare to Low-Lying placenta:
previa covers cervial opening marginally-completely
LL gets close, but no coverage
Previa
Cesarean birth
Stop contractions
Stop Pitocin (if running)
Category III Decel
Anticipate mobilizing surgical team