Obstetrical Hemorrhage Secondary to Placental Abruption at 17 Weeks of Gestation!!
A 40-year old woman, gravida 4, para 4, presented with sudden lower abdominal pain and severe vaginal bleeding at 17 weeks of gestation. Clinical symptoms and ultra-sonographic finding revealed placental abruption. The volume of bleeding was heavy and led to disseminated intravascular coagulation and hypovolemic shock. Blood transfusion was performed to treat the critical condition. However, the mother’s condition continued to worsen. How to recover this problem?
@ipshita It isn't possible to reattach a placenta that's separated from the wall of the uterus. Treatment options for placental abruption depend on the circumstances:
The baby isn't close to full term. If the abruption seems mild, your baby's heart rate is normal and it's too early for the baby to be born, you might be hospitalized for close monitoring. If the bleeding stops and your baby's condition is stable, you might be able to rest at home.
You might be given medication to help your baby's lungs mature and to protect the baby's brain, in case early delivery becomes necessary.
The baby is close to full term. Generally after 34 weeks of pregnancy, if the placental abruption seems minimal, a closely monitored vaginal delivery might be possible. If the abruption worsens or jeopardizes your or your baby's health, you'll need an immediate delivery — usually by C-section.