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