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Monday, December 23, 2013

Abruptio Placenta

Abruptio placentae is defined as the premature separation of the placenta from the uterus. Patients with abruptio placentae typically slack with eject, uterine contractions, and fetal agony. A portentous cause of third-trimester hemorrh advance associated with both fetal and maternal morbidity and mortality, abruptio placentae must be considered whenever eject is encountered in the second half of pregnancy. Placental geological fault off seen after delivery. Pathophysiology Hemorrhage into the decidua basalis evanesces as the placenta separates from the uterus. Vaginal bleeding normally follows, although the presence of a concealed hemorrhage in which the split pools behind the placenta is possible. If the bleeding continues, fetal and maternal distress may develop. Fetal and maternal death may occur if separate interventions are not undertaken. The primary cause of transplacental breaking off is usually unknown, scarce multiple pretend factors have been id entified.1,2 Frequency join States The frequency of abruptio placentae in the unite States is approximately 1%, and a severe breaking off leading to fetal death occurs in 0.12% of pregnancies (1:830). Mortality/ morbidity Maternal or fetal mortality or morbidity may occur.
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If an abruption occurs, the risk of perinatal mortality is describe as 119 per 1,000 people in the United States, but this stub depend on the extent of the abruption and the gestational age of the fetus.3 This rate is higher in patients with a significant weed history. Fetal morbidity is caused by the insult of the abruption itself and by issues related to prematurity when early delivery is take to meliorat e maternal or fetal distress. Currently, pl! acental abruption is liable for approximately 6% of maternal deaths. Maternal and fetal complications entangle issues related to (1) cesarean delivery, (2) hemorrhage/coagulopathy, and (3) prematurity, described as follows: * cesarean delivery delivery: Cesarean delivery is often necessity if the...If you indispensableness to get a full essay, order it on our website: OrderEssay.net

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