1
|
|
2
|
- Loss of a pregnancy before 20 weeks gestation
- Usually due to
- chromosomal abnormalities
- Teratogens
- Faulty implantation
- Weak cervix
- Infection
- Endocrine…
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3
|
- Threatened AB
- Imminent AB
- Complete AB
- Incomplete AB
- Missed AB
- Recurrent
- Septic AB
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4
|
|
5
|
- Products usually expel within 2 weeks
- D&C may be necessary
|
6
|
- Antibody testing
- Genetic Abnormalities
|
7
|
- Implantation other than the uterine endometrial lining
- Characteristic Sx sharp, one sided pain,
- syncope, & referred shoulder pain
|
8
|
- Vaginal bleeding
- Brownish (prune juice)
- Grape cluster d/c
- Uterine enlargement greater than expected
- Sx of PE prior to 24 weeks
|
9
|
- cancer of trophoblastic tissue
- Follow-up for one year to rule out metastasis
- hCG titers, xray, pelvic
- Avoid pregnancy for one year
|
10
|
- Disseminated intravascular coagulation occurs when the blood clotting
- mechanisms are
- activated throughout the body instead of
- being localized to an area of injury.
|
11
|
- Intrauterine death with retained fetus
- Severe pre-eclampsia
- Premature separation of the placenta
- Retained placenta
- Amniotic fluid embolism (usually not able to be determined until
autopsy)
- Hemorrhagic shock
- Transfusion reaction
|
12
|
- Placenta is implanted in the lower uterine segment rather than the upper
- No vag exams if a previa is suspected
|
13
|
|
14
|
|
15
|
|
16
|
- Premature placental detachment from the uterine wall
- Hypertension
- Cocaine
|
17
|
|
18
|
|
19
|
|
20
|
- Marginal
- Central
- Complete
|
21
|
- Perinatal mortality if between 20-40%
- Full seperation=fetal demise
- In less severe separations fetal outcome is dependent on maturity
|
22
|
- Relaxation of the uterus
- Common cause of postpartum hemorrhage
|
23
|
- Pitocin IV or IM
- Methergine IV
- Hemabate IM
- See table 23-1
|
24
|
- Helps to maintain contraction of the uterine blood vessels
- Expels placental fragments and clots
|
25
|
- Injury caused by birth trauma, because the tissue offers little
resistance large amounts of blood can accumulate quickly
|
26
|
- < 5 cm
- Larger usually require surgical management
- Abx
|
27
|
- 1-2 weeks post delivery
- Subinvolution due to retained placenta
|
28
|
- Fundal massage
- Fundal assessment
- Episiotomy inspection
- Signs of PP hemorrhage
|