Management of mild abruptio placentae
Mild abruption can be managed in the following manner:
- admit to hospital
- bed rest
- iv line in situ
- blood: cross-match, FBC, clotting studies
- localise placenta by ultrasound scan
- inspection of cervix with a speculum
The patient may be discharged after 4-5 days if the bleeding does not recur. The pregnancy should be monitored using ultrasound measurements of fetal growth and cardiac monitoring, and fetal kick charts. Intercourse should be avoided.
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