Premature Separation of the Placenta

Types
Degrees of Separation
1. [0] No symptoms
2. [1] Minimal separation
3. [2] Moderate separation
4. [3] Extreme separation
Factors
1. High Parity
2. Advanced maternal Age
3. Short umbilical cord
4. Chronic hypertensive dsease
5. Pregnancy-induced hypertension
6. Direct trauma
7. Chorioamnionitis
8. Vasocostriction
Signs of placental separation (S.T.U.C.S.)
1. Shock
2. Tenderness
3. Uterus is tense
4. Stabbing pain
5. Contraction with pain
Assessment (P.T.A.H.B.A.)
1. Pain
2. Time of bleeding
3. Amount of bleeding
4. Hgb evel
5. Blood clotting abiity
6. Action (trauma)
Therapeutic management (M.O.L.T.)
1. Terminate pregnancy
2. Lateral position
3. Oxygen administration and fluids
4. Monitor fetal heart

Resource summary

	Created by Javen Jara about 11 years ago