Placental abruption (abruptio placentae) : Causes, Clinical presentation, Diagnosis and Treatment

📌𝐅𝐨𝐥𝐥𝐨𝐰 𝐨𝐧 𝐈𝐧𝐬𝐭𝐚𝐠𝐫𝐚𝐦 :- / drgbhanuprakash
What Is Placental Abruption?
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Also known as abruptio placentae, placental abruption is the partial or complete “abrupt” separation of the placenta from the uterus before delivery. Its incidence is about 1%. It is mostly commonly caused by blunt abdominal trauma or maternal hypertension.
Clinical Presentation and Diagnosis of Placental Abruption
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Symptoms are like those of other pregnancy complications-vaginal bleeding, abdominal pain, and uterine contractions. Like placenta previa, placental abruption is a common cause of significant third-trimester bleeding; however, abruption is typically associated with abdominal pain and tenderness as compared with the painless bleeding from placenta previa. Disseminated intravascular coagulation (DIC) can be seen with complete placental abruption.
Abruption is diagnosed based on the clinical signs and symptoms as noted. It is not always visible on a transabdominal ultrasonography.
Treatment of Placental Abruption
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If the placenta completely separates from the uterine wall, prompt treatment and stabilization of the patient and delivery of the neonate are necessary. In some cases, it may be possible to manage partial placental abruption without delivery. Abruption has a high risk of fatality for both the patient and the fetus, given the potential for massive maternal hemorrhage and the loss of fetal perfusion and oxygenation.
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[@Prishnakdrama]

thank you so much i have enjoyed and leaned a lot on your videos about previa and abruption...

[@vinurinethma3787]

2 days more for my final MBBS gyn obs written exam.🥲 I am binge watching all these videos in ×2 speed ...thank you sir .🙏

[@doctorbhanuprakash]

most welcome

[@konamiboyfool]

In the last scenario after treatening DIC why not perform a c section because of maternal hemodynamic instability? She could be having a ruptured uterus and because of the hx of RTA one would also get a chance to perform an XLAP to check on other abdominal organs.

[@vivekkumar31071]

Great explanation

[@mrahcs8005]

This happened to me just this Oct 2022 my doctor said I will not have preterm labor but guess what I had and I had bleeding, I had menstrual cramps like and dizziness that I'm about to faint. And its placenta abruptio Then when I got to the hospital I was already 5cm my goodness I didn't know that I'm in labor already. Thank God me and my son are safe and alive. He was 35 weeks and 3 days when I gave birth to him.

[@chibirithan2567]

Good to know you and your son are doing well, but mam with all due respect please refrain yourself from sharing your personal information in the comment section of a lecture video.

[@sherry5129]

Sir your lectures are gold 🌸 you make the concept so easy to understand. Thank you so much 🤍 keep uploading more

[@nitachima542]

Thank you so much Sir. You make Obstetrics and Gynaecology easier.😊

[@doctorbhanuprakash]

Most welcome!

[@osiris5896]

Sir please take a lecture on non stress tests

[@DocAmikable]

Nice job.
I want to know why there are no warning hemorrhages?

[@naaengmann2117]

this was really helpful! Thank you so much!!

[@doctorbhanuprakash]

You're so welcome!

[@RaviKumar-in9xy]

Sir if fetus heart rate is absent then what we will choose c section or normal

[@tsegawindrias8848]

Thanks Doctor

[@SameerKhan-eo7ce]

Thnaku alot sir

[@user-km9bj6ds6j]

God of obG ❤❤

[@suneethasurala2295]

Thank you sir for clear explanation..about abruptio placent..

[@doctorbhanuprakash]

Always welcome

[@anzigull9074]

My ultrasound tech told me....your placenta is all around....what does it mean ....I am new subscriber

[@mariausman9157]

Great explanation !

[@doctorbhanuprakash]

Glad you liked it!

[@21aparnamadhusoodanan94]

Thankyou sir❤️

[@shiprachoudhary7309]

Very amazing lecture

[@doctorbhanuprakash]

TYSM

[@jyotsanasamantaray6214]

Please sir upload rest obs &gyne chapter

[@soercher2447]

Thankyou sir

[@kwofirolland7569]

Can we get the video of Previa? Thanks. Videos very helpful

[@Prishnakdrama]

it is available already

[@kipkuruihillary9137]

Thanks Doc.

[@doctorbhanuprakash]

Welcome!

[@malakmusbah5331]

You are amazing thank you so much

[@doctorbhanuprakash]

You are so welcome

[@Pc_299]

Superb 👍👍

[@doctorbhanuprakash]

Thanks for liking

[@16.dharavathjeevan58]

Thank you sir 🙏

[@hs7720]

Please teach BSN nursing students. Very helpful!

[@jhansimeghanareddyy5205]

Sir need videos of labour

[@arpanagrawal6976]

Placenta previa pls

[@whatsappsatus4464]

🎉🔥🔥🔥

[@andrawing9099]

Sir continue lecture ❤

[@doctorbhanuprakash]

Sure 👍

[@andrawing9099]

Your concept is perfect 💯

[@andrawing9099]

A lot of thanks 🙏

[@snehalgangarde4359]

Sir urs lecture are very helpful....plz upload more gynac related video with treatment

[@doctorbhanuprakash]

Sure.. thank you

[@harichandrudu7538]

done

[@jeikas1092]

On 13th November 2022 my full term baby son died and I nearly died losing 5L of blood due to this 😢
Day before went to hospital asking to help me deliver but was sent home saying baby is fine. They even refused scan to me.
Happened in London.
No a single bleeding showed, all was internal.
He could be saved.
I will never heal 😪

[@user-wq4ol9mb4x]

29 september2013 happens with me i lost my full term baby.i 😢 never ever forget that timr

[@rosemarybritnal9336]

maybe if i paid him to teach me through uni instead of my money eating professors who barely read their poorly made slides

[@akhalislam6019]

FSH????