-Placental abruption (also referred to as abruptio placentae) refers to partial or complete placental detachment prior to delivery of the fetus.
-The immediate cause is rupture of maternal blood vessels in the decidua basalis.
-Risk factors: previous abruption, cocaine use, smoking, hypertension, uterine anomalies,
-Classic Symptoms and Signs: vaginal bleeding, abdominal pain, contractions, uterine tenderness, a nonreassuring fetal heart rate (FHR) tracing
-Severe abruption can lead to Disseminated Intravascular Coagulation (DIC).
-Classic Ultrasound Finding: Identification of a Retroplacental Hematoma/blood clot.
Fetal heart rate nonreassuring, vaginal delivery or C-section.
Fetal heart rate is reassuring but mother unstable: vaginal delivery or C-section.
Mother & Fetus stable, less than 34 weeks gestation: conservative management
Mother & Fetus stable, at 34 – 36 weeks gestation: delivery