Abruptio Placenta Case Study
Abrptio PPremature Separation of the Placenta * Also called Abruptio Placenta
* Is the separation of the placenta (the organ that nourishes the fetus) from its attachment to the uterus wall before the baby is delivered.
Pathophysiology
The primary cause of premature separation is unknown.
Predisposing factors
* High parity * Advanced maternal age * Short umbilical cord * Chronic hypertensive disease * PIH * Direct trauma * Cigarette use * Sudden release of amniotic fluid
Types of Abruptio Placenta
1. Complete Separation- placenta becomes completely detached from uterine wall.
2. Partial Separation- portion of placenta adheres to uterine wall.
3. External Separation- blood escapes …show more content…
* Low Blood Pressure * High Pulse Rate * Respiratory Distress * Fetal Distress
Management:
* Monitor Vital Signs * Monitor Fetal Heart Rate
Couvelaire Uterus- forming a hard, board like uterus with no apparent or minimally apparent bleeding present.
Management: * The uterus should be evacuated and contractions should be stimulated using intravenous oxytocin. * Hysterectomy (the removal of the uterus) may be needed in some cases.
Disseminated Intravascular Coagulation- is an acquired disorder of blood clotting in which fibrinogen level falls to below effective limits.
Management:
Ineffective tissue perfusion * Maintain oxygenation- airway & respiratory care
Protection from injury- potential for bleeding * Emotional support
Medical Management * IVF therapy - for the replacement of fluid * Oxygen by mask -to limit fetal anoxia * The uterus should be evacuated and contractions should be stimulated using intravenous oxytocin.
Nursing Management * Monitor fetal heart rate -if there's an evidence of fetal
* Is the separation of the placenta (the organ that nourishes the fetus) from its attachment to the uterus wall before the baby is delivered.
Pathophysiology
The primary cause of premature separation is unknown.
Predisposing factors
* High parity * Advanced maternal age * Short umbilical cord * Chronic hypertensive disease * PIH * Direct trauma * Cigarette use * Sudden release of amniotic fluid
Types of Abruptio Placenta
1. Complete Separation- placenta becomes completely detached from uterine wall.
2. Partial Separation- portion of placenta adheres to uterine wall.
3. External Separation- blood escapes …show more content…
* Low Blood Pressure * High Pulse Rate * Respiratory Distress * Fetal Distress
Management:
* Monitor Vital Signs * Monitor Fetal Heart Rate
Couvelaire Uterus- forming a hard, board like uterus with no apparent or minimally apparent bleeding present.
Management: * The uterus should be evacuated and contractions should be stimulated using intravenous oxytocin. * Hysterectomy (the removal of the uterus) may be needed in some cases.
Disseminated Intravascular Coagulation- is an acquired disorder of blood clotting in which fibrinogen level falls to below effective limits.
Management:
Ineffective tissue perfusion * Maintain oxygenation- airway & respiratory care
Protection from injury- potential for bleeding * Emotional support
Medical Management * IVF therapy - for the replacement of fluid * Oxygen by mask -to limit fetal anoxia * The uterus should be evacuated and contractions should be stimulated using intravenous oxytocin.
Nursing Management * Monitor fetal heart rate -if there's an evidence of fetal