Review Note
Last Update: 05/29/2024 10:10 PM
Current Deck: SLS Cards::5. Prenatal care
New Card (Unpublished)Currently Published Content
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Commit #103862
What is the management for placental abruption?
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Commit #103862Initial assessment
- Resus: maternal vitals, IVF and possible transfusion, FHR
- CBC, type and crossmatch, coagulation profile (PT, PTT, INR, fibrinogen), Kleihauer-Betke (fetal-maternal hemorrhage)
- U/S
Mild abruption, stable mother and fetus, < 34 weeks
- Hospitalize for close monitoring
- Bed rest
- Bethamethasone to promote fetal lung maturity
Severe abruption or maternal/ fetal compromise, OR >= 34 weeks
- Immediate delivery --> emergency C-section
- Management of acute hemorrhage (IVF, blood transfusion, monitor urine output)