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Management of moderate abruptio placentae

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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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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