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Placental Abruption

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Placental Abruption Zongjun Hao Department of Ob & Gy Taian public Health School of Shandong Province General Consideration perinatal morbidity ... – PowerPoint PPT presentation

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Title: Placental Abruption


1
Placental Abruption
??????
  • Zongjun Hao
  • Department of Ob Gy
  • Taian public Health School of Shandong Province

2
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??,30?,G1P0 ,36???,2h??????????????????????
????,??60/40 mmHg,???100?/min,????????2?
?,????,???????????
A???????? B?????????? C?????,???????
D??????????
C
3
(No Transcript)
4
General Consideration
  • Definition ??
  • The separation of the placenta from its
    site of implantation after 20 weeks of gestation
    or during the course of delivery.
  • ??20??????????????????????????????
  • perinatal morbidity???
  • 0.46-2.1 (our country)
  • 1 (other countries)
  • perinatal mortality???
  • 20-35

5
Etiology ??
  • Risk factors
  • 1?Vascular diseases ????
  • preeclampsia, chronic hypertension, renal
    disease.
  • ????????????????
  • 2?Mechanical factors ?????
  • trauma, intercourse etc.
  • ?? ???? ??????????

6
Etiology ??
  • Risk factors
  • 3?Supine hypotensive syndrome
  • ?????????
  • 4?reducing of uterine presure suddenly
  • ???????
  • multiple gestaion, hytramnios etc.
  • 5?others??
  • short umbilical cord etc.
  • ????????

7
Pathology
  • Main change ??????
  • hemorrhage of the decidua basalis
  • ?????

8
Pathology change
hemorrhage of the decidua basalis
??????????? ? decidua splits
????? ? decidural hematoma ????? ?
separation, compression, destruction of the
placenta adjacent to it ????????????????
9
Pathology
Types?? revealed abruption ????
concealed abruption ???? mixed
abruption ????
10
Clinical chracteristics
  • Sudden , continuous abdominal pain
  • ?????????
  • Vaginal bleeding ????

11
Complication???
  • Uteroplacental apoplexy ??????
  • Hypovolemic shock ???????
  • Amniotic fluid embolism ????
  • Acute renal failure ???????
  • Postpartum hemorrhage ????
  • DIC ????????

12
Treatment
  • Treatment of hypovolemic shock ???
  • intensive transfusion with blood
  • Termination of pregnancy ??????
  • promptly
  • Cesarean or Vaginal delivery
  • Control complications ?????

13

homework
???,29?,??35?,???????
?,??????160170/100110mmHg,?????3h???????,???????
?,???????????
14
  • Thank you !

The End
15
Pathology 1
revealed abruption ????
16
Pathology 2
concealed abruption ????
17
Pathology 3
mixed abruption ?????
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