Case study ABRUPTIO PLACENTA

May 29th, 2015
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Placental abruption is suspected when a pregnant mother has sudden localized abdominal pain with or without bleeding. The fundus may be monitored because a rising fundus can indicate bleeding.

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Ateneo de Naga UniversityCollge of NursingCASE STUDY OF ABRUPTIO PLACENTASubmitted by:Jovan CondeMary Joy LuistroGlaiza QuintanaLily TadeoKeran ToledoSubmitted to:CHRISTY MARISSA AGUILAR, RNClinical InstructorJuly 1, 2011I. INTRODUCTIONPlacental abruption (also known as abruptio placentae) is an obstetric catastrophe (complication of pregnancy), wherein the placental lining has separated from the uterus of the mother. It is the most common cause of late pregnancy bleeding. In humans, it refers to the abnormal separation after 20 weeks of gestation and prior to birth. It occurs in 1% of pregnancies world wide with a fetal mortality rate of 20-40% depending on the degree of separation. Placental abruption is also a significant contributor to maternal mortality. Many women can die from this type of abnormality. The heart rate of the fetus can be associated with the severity.Placental abruption is suspected when a pregnant mother has sudden localized abdominal pain with or without bleeding. The fundus may be monitored because a rising fundus can indicate bleeding. An ultrasound may be used to rule out placenta praevia but is not diagnostic for abruption. The mother may be given Rhogam if she is Rh negative.Treatment depends on the amount of blood loss and the status of the fetus. If the fetus is less than 36 weeks and neither mother or fetus are in any distress, then they may simply be monitored in hospital until a change in condition or fetal mat

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