medical notes

Apr 16th, 2015
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FETAL BLOOD LOSS IN PREGNANCYIntroductionFetal blood loss may occur from trauma to the placenta or from vasa previa. The fetoplacental vascular volume at term is only 250-500 mLCertain fetal heart tracing patterns on electronic monitoring, particularly fetal tachycardia, severe variations, prolonged bradycardia, or a sinusoidal pattern, may signify fetal distress due to bleeding.The Apt test and the Kleihauer-Betke test can both detect fetal hemoglobin.When significant fetal bleeding is more certain, delivery must be accomplished expeditiously if the infant is to be saved.Trauma to the placentaTrauma to the placenta most commonly occurs with low placental implantation or abruptio placentae. The hallmark of previa is painless vaginal bleeding during the second or third trimesterAbruptio placentae are initiated by bleeding into the decidua basalis, with subsequent development

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