Monday, March 6, 2017

Stuff that goes Wrong Before Birth

Miscarriage or Spontaneous Abortion: Loss before 20wks

Inevitable Abortion: Open cervical os, no products of conception protruding

Incomplete abortion: Open cervical os, products of conception protruding

Placental Abruption: Premature separation of placenta from uterine wall due to uterine bleeding into the decidua basalis.

Placental previa is when the placenta inserts into the lower segment of the uterus, resulting in insufficient blood supply and bleeding, often secondary to scarring. C-section increases risk: first x2, second x4, third x 20.

Placenta accreta: placenta attaches too deeply into uterine wall but not into muscle
Placenta increta: Into muscle
Placenta percreta: Through the muscle and attached to another organ, most common is bladder.
Rx: Caesarean delivery along with total hysterectomy sine oophorectomy.

Together placental abruption and previa are cause of over half of antepartum (24 wks to birth) bleeding.

Preterm labor: labor before 37 weeks.

1 comment:

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