Overview
How is abruptio placentae defined?
What are the possible complications of abruptio placentae?
How is abruptio placentae classified?
What causes abruptio placentae?
What are the risk factors for abruptio placentae?
What is the role of cigarette smoking in the etiology of abruptio placentae?
What is the role of cocaine use in the etiology of abruptio placentae?
What is the role of trauma in the etiology of abruptio placentae?
What is the role of thrombophilia in the etiology of abruptio placentae?
What is the prevalence of abruptio placentae in the US?
What is the global prevalence of abruptio placentae?
What are the racial predilections of abruptio placentae?
Which age groups are at highest risk for abruptio placentae?
What is the prognosis of abruptio placentae?
What is the morbidity associated with abruptio placentae?
How does cesarean delivery affect the prognosis of abruptio placentae?
What are the possible coagulation complications of abruptio placentae?
What is the risk of premature delivery in pregnancies complicated by abruptio placentae?
What is the risk of recurrence of abruptio placentae?
What is the maternal mortality risk of abruptio placentae?
What is included in patient education about abruptio placentae?
Presentation
Which clinical history findings are characteristic of abruptio placentae?
What is the prevalence of vaginal bleeding in abruptio placentae?
How is uterine activity characterized in abruptio placentae?
What caused decreased fetal movement in abruptio placentae?
How is the physical exam to evaluate abruptio placentae performed?
How is vaginal bleeding characterized in abruptio placentae?
How are uterine contractions characterized in abruptio placentae?
What are the signs and symptoms of shock in abruptio placentae?
What are the signs of fetal death in abruptio placentae?
What are the signs of fetal distress in abruptio placentae?
Which fundal height findings are characteristic of abruptio placentae?
DDX
Which conditions are included in the differential diagnoses of abruptio placentae?
What are the differential diagnoses for Abruptio Placentae?
Workup
What is the role of lab tests in the workup of abruptio placentae?
What is the role of CBC count in the workup of abruptio placentae?
What is the role of a fibrinogen study in the workup of abruptio placentae?
What is the role of coagulation studies in the workup of abruptio placentae?
What is the role of BUN studies in the workup of abruptio placentae?
What is the role of a blood typing in the workup of abruptio placentae?
What is the role of a Kleihauer-Betke test in the workup of abruptio placentae?
What is the role of ultrasonography in the workup of abruptio placentae?
What is the role of fetal monitoring in in the workup of abruptio placentae?
What is the role of a biophysical profile (BPP) in the workup of abruptio placentae?
Which histologic findings are characteristic of abruptio placentae?
What is the role of serum analytes in the workup of abruptio placentae?
Treatment
When is inpatient care indicated for the treatment of abruptio placentae?
When is patient transfer required for the treatment of abruptio placentae?
What is the initial treatment of abruptio placentae?
When is vaginal delivery indicated for abruptio placentae?
What is the role of cesarean delivery in the treatment of abruptio placentae?
Which dietary modifications are used in the treatment of abruptio placentae?
Which activity modifications are used in the treatment of abruptio placentae?
Which medications are used in the treatment of abruptio placentae?
How is abruptio placentae prevented?
Which specialist consultations are beneficial to patients with abruptio placentae?
Medications
What is the role of medications in the treatment of abruptio placentae?
Which medications in the drug class Corticosteroids are used in the treatment of Abruptio Placentae?
Which medications in the drug class Tocolytics are used in the treatment of Abruptio Placentae?
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Placental abruption seen after delivery.
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Fetal tracing with placental abruption. Decreased short-term variability, increased baseline uterine tone, uterine hyperstimulation, and worsening variable decelerations.