Donna Thea
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PATHOPHYSIOLOGY Abruptio Placentae
HYPERTENSION, TRAUMA AND COAGULOPATHY ↓ (contributes to) the avulsion of the anchoring placental villi from the expanding lower uterine segment ↓ (leads to) bleeding into the decidua basalis. ↓(this can push the placenta away from the uterus) cause further bleeding
→
Bleeding through the vagina →
external bleeding ↓
Occurs 80% of the time ↓ (Known as concealed or Internal placental abruption)
←
the blood will pool behind the placenta
↓ (women may present to:) • • • • •
Vaginal bleeding Abdominal or back pain Abnormal or premature contractions Fetal distress Death
HYPERTENSION, TRAUMA AND COAGULOPATHY ↓ (contributes to) the avulsion of the anchoring placental villi from the expanding lower uterine segment ↓ (leads to) bleeding into the decidua basalis. ↓(this can push the placenta away from the uterus) cause further bleeding
→
Bleeding through the vagina →
external bleeding ↓
Occurs 80% of the time ↓ (Known as concealed or Internal placental abruption)
←
the blood will pool behind the placenta
↓ (women may present to:) • • • • •
Vaginal bleeding Abdominal or back pain Abnormal or premature contractions Fetal distress Death
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