Hypertension, smoking Risk Placental Abruption Sym Tender, tense uterus

facto p
Short umbilical cord rs Tachycardia, hypotension

Trauma to abdomen, PROM Managemen Fetal distress

Crack cocaine usage
Anticoagulant therapy
Polyhad. with rapid
decomp
Prior placental abruption
t
Monitor CVP, urine output Small abruption, no Renal compromise
fetal distress,
Fetal death  Induce conservative till fetal DIC
lung is mature with US
monitoring and CTG
Fetal distress  Deliver

IUGR Maternal: Poor nutrition, smoking, drug abuse, alcohol, Fetal: Infection, anomaly
heart and lung disease, APL, HT, CKD.

Multiple gestation Risk Placenta Previa Sym Painless vaginal bleeding

facto p
Previous cesarean section rs High presenting part
Managemen
Uterine structural anomaly Stable Mother t Unstable Mother Maternal compromise

Assisted conception
Fetal lung mature? Caesarean section Dx
Increase maternal age

Prior placenta previa Not yet mature? Dexa + conservative Ultrasound diagnosis

Uterine rupture Uncomm APH Common Placenta previa

on
Fetal vessel rupture Placental abruption
Pregnancy HT Spontaneous
Cervical or Vag Lacerations Preterm labor
Cervical Multiple pregnancy
Cougulopathy
incompetence
Uterine anomalies PPROM, APH,
Unkown
IUGR

Over distension of uterus Uterine PPH Causes Uterine atony

Atony
Multi. Ges, Grand Multi. Genital tract trauma

Polyhydramnios Oxytocin 20 U in 0.5 Retained placental tissue

Fetal macrosomia Methyergonovine Low placental implantation

Prolonged labor Misoprostol Coagulation disorders

Oxytocin augmentation Bimanaual compression & massage Placental abruption

Chorioamnionitis Ligation of uterine arteries AFE

Halothane, Fibroma, Mg Sulf Hysterectomy Retained dead fetus

Tocolytics Bed rest and hydration, Ritodrine, Salbutamol, Mg Sulfate, Nifedipine, Indomethacin, GTN, Atosiban (Ox
ant)