latepregnancybleeding晚期妊娠流血(已修改)
2025-01-31 08:08 本頁面
【正文】 Importance ? Maternal Risks – Acute hemorrhage – Operative delivery ? Fetal Risks – Uteroplacental insufficiency – Premature birth ? Key Points – Identify the cause – Timely intervention Initial Assessment ? History – Amount of bleeding, recent intercourse or digital exam, severity of pain, trauma ? Physical exam – Vital signs, speculum, digital only if no placenta previa, may note cervicitis/ polyp/cancer ? Ultrasound – Evaluation for placenta previa ? Period of observation Initial Management of Significant Bleeding ? Hemodynamic instability – Hypotension – Tachycardia ? IV fluids ? Consider blood products/transfusion ? Lab tests – Hematocrit, platelets, fibrinogen, coagulation, blood type, and antibody screen ? Continuous fetal monitoring ? Consider emergent cesarean section
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