SlideShare ist ein Scribd-Unternehmen logo
1 von 46
Downloaden Sie, um offline zu lesen
ABRUPTIO PLACENTA
INTRODUCTION
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object]
 
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Signs and symptoms   ,[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object]
Baseline fibrinogen( if bleeding is extensive, fibrinogen reserve may be used up in the body’s attempt to accomplish effective clot formation NO IE or rectal examination, no enema Keep IV open for possible blood transfusion May lead to couvelaire uterus (blood infiltrating the uterine musculature) forming a hard, board-like uterus without apparent bleeding FHT monitoring; VS monitorng Fetal distress (altered FHR) Oxygenation to limit fetal anoxia Abdomen is tender, painful, and tense (board-like) Keep woman in lateral (not supine) position Painful (sharp stabbing) vaginal bleeding
Management
MEDICAL MANAGEMENT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SURGICAL MANAGEMENT ,[object Object],[object Object]
 
PREVENTION ,[object Object],[object Object],[object Object],[object Object]
THANK YOU
ECTOPIC PREGNANCY
ECTOPIC PREGNANCY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
Gestational sac in tube in UTZ Visualization of pelvic organs through culdoscopy Presence of bloody fluid Administration of RHOGAM to Rh negative mothers Vaginal spotting or bleeding may be present Provide emotional support for the grieving process  Rigid, tender abdomen on palpation Shock monitoring and management before and after surgery Unilateral LQ (abdominal or pelvic pain Prepare for surgery Amenorrhea with (+) PT
[object Object],[object Object],[object Object],[object Object],[object Object]
TROPHOBLASTIC DISEASE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Hydatidiform Mole ,[object Object]
Increased nausea and vomiting If there is no rise in HCG, further treatment (hysterectomy or chemotherapy) is required. No FHT Educate on the need to monitor HCG for 1 year  (biweekly until low then monthly fr six months, then every two months for the next six months)  Elevated HCG levels Educate on avoiding pregnancy for at least 1 year UTZ findings (no fetus) Mole is removed by vacuum aspiration or curettage Persistent bleeding (dark red/ brown vaginal fluid with passage of grapelike clusters Monitoring and management of shock by blood transfusion or IV therapy Uterus large for gestational age
INCOMPETENT CERVIX ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PLACENTA PREVIA ,[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
Therapeutic Interventions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Nursing Care ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
TORCHS  ,[object Object],[object Object],[object Object]
TORCHS  ,[object Object]
[object Object]
[object Object],[object Object],[object Object]
[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object]
 

Weitere ähnliche Inhalte

Was ist angesagt? (20)

Retained placenta
Retained placentaRetained placenta
Retained placenta
 
Medical management of postpartum hemorrhage pph lecture
Medical management of postpartum hemorrhage pph lectureMedical management of postpartum hemorrhage pph lecture
Medical management of postpartum hemorrhage pph lecture
 
RUPTURE OF UTERUS
RUPTURE OF UTERUSRUPTURE OF UTERUS
RUPTURE OF UTERUS
 
Abnormal uterine action
Abnormal uterine actionAbnormal uterine action
Abnormal uterine action
 
Placenta previa
Placenta previaPlacenta previa
Placenta previa
 
Abruptio placenta vld
Abruptio placenta vldAbruptio placenta vld
Abruptio placenta vld
 
Retained placenta
Retained placentaRetained placenta
Retained placenta
 
abruptio placenta
abruptio placentaabruptio placenta
abruptio placenta
 
Uterine rupture
Uterine ruptureUterine rupture
Uterine rupture
 
Rupture uterus
Rupture uterusRupture uterus
Rupture uterus
 
Antepartum haemorrhage
Antepartum haemorrhageAntepartum haemorrhage
Antepartum haemorrhage
 
Uterine Inversion
Uterine InversionUterine Inversion
Uterine Inversion
 
Post Partum Hemorrhage (PPH).ppt
Post Partum Hemorrhage (PPH).pptPost Partum Hemorrhage (PPH).ppt
Post Partum Hemorrhage (PPH).ppt
 
Obstructed labor management
Obstructed labor managementObstructed labor management
Obstructed labor management
 
Obg seminar
Obg seminarObg seminar
Obg seminar
 
Malpresentations
MalpresentationsMalpresentations
Malpresentations
 
Preterm Labor 2021 Update
Preterm Labor 2021 UpdatePreterm Labor 2021 Update
Preterm Labor 2021 Update
 
Induction and augmentation of labour by dr jograjiya
Induction and augmentation of labour by dr jograjiyaInduction and augmentation of labour by dr jograjiya
Induction and augmentation of labour by dr jograjiya
 
Breech presentation
 Breech presentation Breech presentation
Breech presentation
 
Caesarean section
Caesarean sectionCaesarean section
Caesarean section
 

Ähnlich wie Abruptio Placenta (Original)

Ähnlich wie Abruptio Placenta (Original) (20)

Antepartum hemorrhage
Antepartum hemorrhageAntepartum hemorrhage
Antepartum hemorrhage
 
PLACENTA PREVIA.ppt.pdf
PLACENTA PREVIA.ppt.pdfPLACENTA PREVIA.ppt.pdf
PLACENTA PREVIA.ppt.pdf
 
Bleeding during pregnancy
Bleeding during pregnancyBleeding during pregnancy
Bleeding during pregnancy
 
APH.pptx
APH.pptxAPH.pptx
APH.pptx
 
ABORTION.pptx
ABORTION.pptxABORTION.pptx
ABORTION.pptx
 
Third trimester bleeding
Third trimester bleedingThird trimester bleeding
Third trimester bleeding
 
OBSTETRIC HAEMORRHAGE.pptx
OBSTETRIC HAEMORRHAGE.pptxOBSTETRIC HAEMORRHAGE.pptx
OBSTETRIC HAEMORRHAGE.pptx
 
Placenta previa
Placenta previaPlacenta previa
Placenta previa
 
Pph
PphPph
Pph
 
Antepartum Hemorrhage(APH)
Antepartum Hemorrhage(APH) Antepartum Hemorrhage(APH)
Antepartum Hemorrhage(APH)
 
Placenta abruptia
Placenta abruptiaPlacenta abruptia
Placenta abruptia
 
Bleeding in early & late pregnancy
Bleeding in early  & late pregnancyBleeding in early  & late pregnancy
Bleeding in early & late pregnancy
 
Antepartum haemorrhage
Antepartum haemorrhageAntepartum haemorrhage
Antepartum haemorrhage
 
Late Pregnancy Bleeding.pptx
Late Pregnancy Bleeding.pptxLate Pregnancy Bleeding.pptx
Late Pregnancy Bleeding.pptx
 
Abruption Placenta & Placenta Previa (1).pptx
Abruption Placenta & Placenta Previa (1).pptxAbruption Placenta & Placenta Previa (1).pptx
Abruption Placenta & Placenta Previa (1).pptx
 
Final
FinalFinal
Final
 
Obstateric emergencies
Obstateric emergenciesObstateric emergencies
Obstateric emergencies
 
obestateric emergency
obestateric emergencyobestateric emergency
obestateric emergency
 
Obstateric emergencies
Obstateric emergenciesObstateric emergencies
Obstateric emergencies
 
Haemorrhage during late pregnancy
Haemorrhage during late pregnancyHaemorrhage during late pregnancy
Haemorrhage during late pregnancy
 

Kürzlich hochgeladen

Red Blood Cells_anemia & polycythemia.pdf
Red Blood Cells_anemia & polycythemia.pdfRed Blood Cells_anemia & polycythemia.pdf
Red Blood Cells_anemia & polycythemia.pdfMedicoseAcademics
 
MedMatch: Your Health, Our Mission. Pitch deck.
MedMatch: Your Health, Our Mission. Pitch deck.MedMatch: Your Health, Our Mission. Pitch deck.
MedMatch: Your Health, Our Mission. Pitch deck.whalesdesign
 
SGK ĐIỆN GIẬT ĐHYHN RẤT LÀ HAY TUYỆT VỜI.pdf
SGK ĐIỆN GIẬT ĐHYHN        RẤT LÀ HAY TUYỆT VỜI.pdfSGK ĐIỆN GIẬT ĐHYHN        RẤT LÀ HAY TUYỆT VỜI.pdf
SGK ĐIỆN GIẬT ĐHYHN RẤT LÀ HAY TUYỆT VỜI.pdfHongBiThi1
 
historyofpsychiatryinindia. Senthil Thirusangu
historyofpsychiatryinindia. Senthil Thirusanguhistoryofpsychiatryinindia. Senthil Thirusangu
historyofpsychiatryinindia. Senthil Thirusangu Medical University
 
"Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio..."Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio...Sujoy Dasgupta
 
SGK LEUKEMIA KINH DÒNG BẠCH CÂU HẠT HAY.pdf
SGK LEUKEMIA KINH DÒNG BẠCH CÂU HẠT HAY.pdfSGK LEUKEMIA KINH DÒNG BẠCH CÂU HẠT HAY.pdf
SGK LEUKEMIA KINH DÒNG BẠCH CÂU HẠT HAY.pdfHongBiThi1
 
power point presentation of Clinical evaluation of strabismus
power point presentation of Clinical evaluation  of strabismuspower point presentation of Clinical evaluation  of strabismus
power point presentation of Clinical evaluation of strabismusChandrasekar Reddy
 
PAIN/CLASSIFICATION AND MANAGEMENT OF PAIN.pdf
PAIN/CLASSIFICATION AND MANAGEMENT OF PAIN.pdfPAIN/CLASSIFICATION AND MANAGEMENT OF PAIN.pdf
PAIN/CLASSIFICATION AND MANAGEMENT OF PAIN.pdfDolisha Warbi
 
High-Performance Thin-Layer Chromatography (HPTLC)
High-Performance Thin-Layer Chromatography (HPTLC)High-Performance Thin-Layer Chromatography (HPTLC)
High-Performance Thin-Layer Chromatography (HPTLC)kishan singh tomar
 
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...Shubhanshu Gaurav
 
EXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung functionEXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung functionkrishnareddy157915
 
pA2 value, Schild plot and pD2 values- applications in pharmacology
pA2 value, Schild plot and pD2 values- applications in pharmacologypA2 value, Schild plot and pD2 values- applications in pharmacology
pA2 value, Schild plot and pD2 values- applications in pharmacologyDeepakDaniel9
 
Using Data Visualization in Public Health Communications
Using Data Visualization in Public Health CommunicationsUsing Data Visualization in Public Health Communications
Using Data Visualization in Public Health Communicationskatiequigley33
 
Physiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxationPhysiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxationMedicoseAcademics
 
AUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functionsAUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functionsMedicoseAcademics
 
Mental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil ThirusanguMental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil Thirusangu Medical University
 
Pharmacokinetic Models by Dr. Ram D. Bawankar.ppt
Pharmacokinetic Models by Dr. Ram D.  Bawankar.pptPharmacokinetic Models by Dr. Ram D.  Bawankar.ppt
Pharmacokinetic Models by Dr. Ram D. Bawankar.pptRamDBawankar1
 
Male Infertility Panel Discussion by Dr Sujoy Dasgupta
Male Infertility Panel Discussion by Dr Sujoy DasguptaMale Infertility Panel Discussion by Dr Sujoy Dasgupta
Male Infertility Panel Discussion by Dr Sujoy DasguptaSujoy Dasgupta
 
Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.kishan singh tomar
 
BENIGN BREAST DISEASE
BENIGN BREAST DISEASE BENIGN BREAST DISEASE
BENIGN BREAST DISEASE Mamatha Lakka
 

Kürzlich hochgeladen (20)

Red Blood Cells_anemia & polycythemia.pdf
Red Blood Cells_anemia & polycythemia.pdfRed Blood Cells_anemia & polycythemia.pdf
Red Blood Cells_anemia & polycythemia.pdf
 
MedMatch: Your Health, Our Mission. Pitch deck.
MedMatch: Your Health, Our Mission. Pitch deck.MedMatch: Your Health, Our Mission. Pitch deck.
MedMatch: Your Health, Our Mission. Pitch deck.
 
SGK ĐIỆN GIẬT ĐHYHN RẤT LÀ HAY TUYỆT VỜI.pdf
SGK ĐIỆN GIẬT ĐHYHN        RẤT LÀ HAY TUYỆT VỜI.pdfSGK ĐIỆN GIẬT ĐHYHN        RẤT LÀ HAY TUYỆT VỜI.pdf
SGK ĐIỆN GIẬT ĐHYHN RẤT LÀ HAY TUYỆT VỜI.pdf
 
historyofpsychiatryinindia. Senthil Thirusangu
historyofpsychiatryinindia. Senthil Thirusanguhistoryofpsychiatryinindia. Senthil Thirusangu
historyofpsychiatryinindia. Senthil Thirusangu
 
"Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio..."Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio...
 
SGK LEUKEMIA KINH DÒNG BẠCH CÂU HẠT HAY.pdf
SGK LEUKEMIA KINH DÒNG BẠCH CÂU HẠT HAY.pdfSGK LEUKEMIA KINH DÒNG BẠCH CÂU HẠT HAY.pdf
SGK LEUKEMIA KINH DÒNG BẠCH CÂU HẠT HAY.pdf
 
power point presentation of Clinical evaluation of strabismus
power point presentation of Clinical evaluation  of strabismuspower point presentation of Clinical evaluation  of strabismus
power point presentation of Clinical evaluation of strabismus
 
PAIN/CLASSIFICATION AND MANAGEMENT OF PAIN.pdf
PAIN/CLASSIFICATION AND MANAGEMENT OF PAIN.pdfPAIN/CLASSIFICATION AND MANAGEMENT OF PAIN.pdf
PAIN/CLASSIFICATION AND MANAGEMENT OF PAIN.pdf
 
High-Performance Thin-Layer Chromatography (HPTLC)
High-Performance Thin-Layer Chromatography (HPTLC)High-Performance Thin-Layer Chromatography (HPTLC)
High-Performance Thin-Layer Chromatography (HPTLC)
 
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
 
EXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung functionEXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung function
 
pA2 value, Schild plot and pD2 values- applications in pharmacology
pA2 value, Schild plot and pD2 values- applications in pharmacologypA2 value, Schild plot and pD2 values- applications in pharmacology
pA2 value, Schild plot and pD2 values- applications in pharmacology
 
Using Data Visualization in Public Health Communications
Using Data Visualization in Public Health CommunicationsUsing Data Visualization in Public Health Communications
Using Data Visualization in Public Health Communications
 
Physiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxationPhysiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxation
 
AUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functionsAUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functions
 
Mental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil ThirusanguMental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil Thirusangu
 
Pharmacokinetic Models by Dr. Ram D. Bawankar.ppt
Pharmacokinetic Models by Dr. Ram D.  Bawankar.pptPharmacokinetic Models by Dr. Ram D.  Bawankar.ppt
Pharmacokinetic Models by Dr. Ram D. Bawankar.ppt
 
Male Infertility Panel Discussion by Dr Sujoy Dasgupta
Male Infertility Panel Discussion by Dr Sujoy DasguptaMale Infertility Panel Discussion by Dr Sujoy Dasgupta
Male Infertility Panel Discussion by Dr Sujoy Dasgupta
 
Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.
 
BENIGN BREAST DISEASE
BENIGN BREAST DISEASE BENIGN BREAST DISEASE
BENIGN BREAST DISEASE
 

Abruptio Placenta (Original)

  • 3.
  • 4.
  • 5.
  • 6.  
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13. Baseline fibrinogen( if bleeding is extensive, fibrinogen reserve may be used up in the body’s attempt to accomplish effective clot formation NO IE or rectal examination, no enema Keep IV open for possible blood transfusion May lead to couvelaire uterus (blood infiltrating the uterine musculature) forming a hard, board-like uterus without apparent bleeding FHT monitoring; VS monitorng Fetal distress (altered FHR) Oxygenation to limit fetal anoxia Abdomen is tender, painful, and tense (board-like) Keep woman in lateral (not supine) position Painful (sharp stabbing) vaginal bleeding
  • 15.
  • 16.
  • 17.  
  • 18.
  • 21.
  • 22.
  • 23. Gestational sac in tube in UTZ Visualization of pelvic organs through culdoscopy Presence of bloody fluid Administration of RHOGAM to Rh negative mothers Vaginal spotting or bleeding may be present Provide emotional support for the grieving process Rigid, tender abdomen on palpation Shock monitoring and management before and after surgery Unilateral LQ (abdominal or pelvic pain Prepare for surgery Amenorrhea with (+) PT
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29. Increased nausea and vomiting If there is no rise in HCG, further treatment (hysterectomy or chemotherapy) is required. No FHT Educate on the need to monitor HCG for 1 year (biweekly until low then monthly fr six months, then every two months for the next six months) Elevated HCG levels Educate on avoiding pregnancy for at least 1 year UTZ findings (no fetus) Mole is removed by vacuum aspiration or curettage Persistent bleeding (dark red/ brown vaginal fluid with passage of grapelike clusters Monitoring and management of shock by blood transfusion or IV therapy Uterus large for gestational age
  • 30.
  • 31.
  • 32.
  • 33.
  • 34.
  • 35.
  • 36.
  • 37.
  • 38.
  • 39.
  • 40.
  • 41.
  • 42.
  • 43.
  • 44.
  • 45.
  • 46.