20xx年醫(yī)學(xué)專題—latepregnancybleeding晚期妊娠流血(編輯修改稿)
2024-10-31 18:31 本頁(yè)面
【文章內(nèi)容簡(jiǎn)介】 y 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 complete previa If history of cesarean, evaluate for invasive placenta Color flow Doppler MRI If confirmed, prepare for possible cesarean/hysterectomy,第十一頁(yè)，共二十九頁(yè)。,第十二頁(yè)，共二十九頁(yè)。,Placental Abruption,Separation of placenta from uterine wall Most common cause of serious bleeding 1% of pregnancies Neonatal mortality is 1030% 50% of abruptions occur prior to 36 weeks gestation,第十三頁(yè)，共二十九頁(yè)。,第十四頁(yè)，共二十九頁(yè)。,第十五頁(yè)，共二十九頁(yè)。,Placental Abruption (continued),Risk factors Smoking tobacco Cocaine use Chronic hypertension Preeclampsia Thrombophilias Abdominal trauma History of abruption in previous pregnancy,第十六頁(yè)，共二十九頁(yè)。,Pla
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