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Management of placenta previa, Management of placental abruption - Coggle…
Management of placenta previa
ABCD
if
fetal condition is good
<37 weeks gestation
bleeding is minor
admit for observation until at least 24 hours has passed without further bleeding
anti-D to prevent Rh alloimmunization
corticosteroids to stimulate fetal lung maturation
tocolytics to reduce uterine contractions
bed rest
bleeding is significant (1500 mL at once or significant continuing bleeding
terminate pregnancy by C-section
fetal distress
≥37 weeks gestation
patients with placenta previa centralis and recurrent bleeding
admit at 34 weeks of gestation for careful risk assessment
Management of placental abruption
ABCD
if
bleeding is minor
close monitoring for fetal wellbeing
US for fetal growth, amniotic fluid vol, and Doppler for umbilical arteries
Cardiotocography
anti-D to prevent Rh alloimmunization
corticosteroids to stimulate fetal lung maturation
fetal condition is good
<37 weeks gestation
bleeding is significant
terminate pregnancy by C-section without compromising maternal resuscitation
fetal distress
≥37 weeks gestation
in very severe cases the fetus will be dead and vaginal delivery can be accelerated by artificial rupture of membranes once maternal condition is stable