In: Anatomy and Physiology
1. Abruptio placenta is an emergency condition which results in
detachment of the placenta from the uterus.
The condition is characterised by vaginal bleeding and fetal
distress.
2. a) mild abruption placentae : it is characterised by marginal
separation of the placemta from uterine lining. It is a partial
separation.
It is characterised by none to slight vaginal bleeding and mild
uterine tenderness. Maternal vital signs such as BP and HR remains
normal. There is no fetal distress.
b) moderate abruptio placentae : it is characterised by partial
saeparation of the placenta.
It is characterised by no to slight to moderate vaginal bleeding.
The uterus is tender and may exhibit uterine contractions. Maternal
BP and HR are elevated. Fetal distress is present.
c) severe abruptio placentae : it is characterised by complete
central separation of the placenta. The vaginal bleeding is present
ranging from mild to heavy. Uterus is tender with uterine
contractions. Coagulooathy present. Maternal shock and fetal death
may occur.
3. Predisposing factors :
- maternal hypertension
- premature rupture of membranes
- alcohol and cigarette smoking
- maternal age more than 35 yrs or less than 20 yrs
- previous history of abruptio placentae
ECTOPIC PREGNANCY
1. Ectopic pregnancy can be defined as the implantation of the
fertilized ovum outside the uterus. The most conmon site for
ectopic pregnancy is fallopian tubes.
Symptoms include vaginal bleeding, cramps and abdominal pain.
2. Risk factors of ectopic pregnancy include:
- pelvic inflammatory disease
- sexually transmitted diseases
- alcohol consumption and smoking
- maternal age more than 35 yrs or less than 20 yrs
- use of assistive reproductive technologies
- use of contraceptive pills