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Ultrasound showing placental abruption. 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. [8]
Couvelaire uterus (also known as uteroplacental apoplexy) [1] is a rare but not a life-threatening condition in which loosening of the placenta (abruptio placentae) causes bleeding that penetrates into the uterine myometrium forcing its way into the peritoneal cavity. This condition makes the uterus very tense and rigid.
Mother: Placental abruption, postpartum endometritis [2] Types: Term, preterm [2] Risk factors: Infection of the amniotic fluid, prior PROM, bleeding in the later parts of pregnancy, smoking, a mother who is underweight [2] Diagnostic method: Suspected based on symptoms and examination, supported by testing the fluid or ultrasound [2 ...
The team looked at a series of 1,527 single-child pregnancies that ended in miscarriage - here’s what they found
Risk factors such as diabetes, chronic blood pressure and multiple pregnancies can increase the risk of developing placental disease. [3] Also, exposure to sudden trauma can increase the risk of placental abruption which coincides with placental disease. [6] There is no target treatment available for placental disease.
Large placental infarcts are associated with vascular abnormalities, e.g. hypertrophic decidual vasculopathy, as seen in hypertension. [1] Very large infarcts lead to placental insufficiency and may result in fetal death. Placental infarcts are generally detected after birth, although using ultrasound may be a way to notice infarcts prenatally.
Absent fetal heart sounds with a large disruption of the placenta; absent fetal heart activity by ultrasound examination; Cessation of uterine contractions; Palpation of the fetus outside the uterus (usually occurs only with a large, complete rupture). The fetus is likely to be dead at this point. Signs of an abdominal pregnancy; Post-term ...
The physical examination may include ultrasound imaging for rapid visualization of the uterus and other causes of bleeding. [1] Expulsion of gestational products such as the placenta and rapid identification of obstetric lacerations, helps exclude other causes of PPH. [1] Laboratory tests can be drawn if coagulopathies are suspected.