Question

The first consideration in the treatment of placental abruption
1. Immediate delivery
2. Administration of fibrinogen
3. Amniocentesis to establish diagnosis
4. Prompt restoration of an effective circulation with IV fluids

Answer 1

Correct Answer - Option 1 : Immediate delivery

Explanation

• Placental abruption or abruptio placenta is the premature separation of the placenta from the uterine wall.
• Happens after 20 weeks until the second stage of labor.

Etiology and Risk factors

• Increased maternal age
• Hypertension
• Preeclampsia
• Pre-term ruptured membrane.
• Smoking, cocaine usage.
• Hydramnios.

Types

• Revealed
• Concealed
• Mixed

Management

If the baby is not fully mature and has minimal bleeding

• Hospitalization for close monitoring
• Medication support for maturation of lungs, heart, and brain.
• Monitoring FHR

Matured fetus after 34 weeks

• For minimal bleeding, can choose vaginal delivery.
• For heavy bleeding or complications, we will choose LSCS.