【文章內(nèi)容簡介】
tinued) ? Mode of delivery – If unstable, immediate cesarean delivery – If stable, ultrasound at 36 weeks ? If placental edge 2cm from os, vaginal delivery ? If placental edge 12cm from os, may attempt vaginal delivery if operating room near by ? If fetal lungs are mature, cesarean for plete previa – If history of cesarean, evaluate for invasive placenta ? Color flow Doppler ? MRI ? If confirmed, prepare for possible cesarean/hysterectomy 第十一頁,共二十九頁。 第十二頁,共二十九頁。 Placental Abruption ? Separation of placenta from uterine wall ? Most mon cause of serious bleeding ? 1% of pregnancies ? Neonatal mortality is 1030% ? 50% of abruptions occur prior to 36 weeks gestation 第十三頁,共二十九頁。 Image: :// dkimages /discover/previews/817/ 第十四頁,共二十九頁。 第十五頁,共二十九頁。 Placental Abruption (continued) ? Risk factors – Smoking tobacco – Cocaine use – Chronic hypertension – Preeclampsia – Thrombophilias – Abdominal trauma