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Management of moderate abruptio placentae

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

The management of moderate placental abruption can be carried out in the following way:

  • admit to hospital; consider obstetric Flying Squad
  • bed rest
  • iv line in situ
  • blood: cross-match, FBC, clotting studies
  • localize placenta by ultrasound scan
  • inspection of cervix with a speculum

There is a danger of premature labour after a bleed of this size; therefore, the patient should not be discharged from hospital. Fetal growth should be monitored.

Labour should be induced at term if it does not occur spontaneously beforehand; labour may be induced earlier if there are signs of fetal distress.

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