Treatments for Abruptio Placentae
Treatments for Abruptio Placentae
The list of treatments mentioned in various sources
for Abruptio Placentae
includes the following list.
Always seek professional medical advice about any treatment
or change in treatment plans.
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Book Excerpts: Treatment of Abruptio Placentae
Treatments of Abruptio Placentae: Online Medical Books
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for more information about the treatments of Abruptio Placentae.
Umbilicus – Delayed Separation:
Treatment
(In A Page: Pediatric Signs and Symptoms)
-
Decreased use of antiseptics (alcohol) along with the implementation of simple cleaning of the cord with water decreases the length of time to umbilical cord separation without increasing the risk of infection
-
Surgical excision of umbilical cord
-
Treatment of sepsis and infection with antibiotics
-
Transplantation of bone marrow or umbilical blood hematopoietic stem cells to correct LADs
-
Surgical repair of any urachal anomalies
-
Prevention of transmission of autosomal recessive, inherited conditions (such as LAD) by genetic counseling and testing
» READ BOOK EXCERPT ONLINE »
Source: In A Page: Pediatric Signs and Symptoms, 2007
Abruptio placentae:
Treatment
(Professional Guide to Diseases (Eighth Edition))
Treatment of abruptio placentae is designed to assess, control, and restore the amount of blood lost; to deliver a viable infant; and to prevent coagulation disorders. Immediate measures for abruptio placentae include starting I.V. infusion (via large-bore catheter) of appropriate fluids (lactated Ringer’s solution) to combat hypovolemia; placement of a central venous pressure line and urinary catheter to monitor fluid status; drawing blood for Hb levels and hematocrit determination, for coagulation studies, and for type and crossmatching; external electronic fetal monitoring; and monitoring of maternal vital signs and vaginal bleeding.
After determination of the severity of abruption and appropriate fluid and blood replacement, prompt delivery by cesarean birth is necessary if the fetus is in distress. If the fetus isn’t in distress, monitoring continues; delivery is usually performed at the first sign of fetal distress. Because of possible fetal blood loss through the placenta, a pediatric team should be ready at delivery to assess and treat the neonate for shock, blood loss, and hypoxia. If placental separation is severe and there are no signs of fetal life, vaginal delivery may be performed unless uncontrolled hemorrhage or other complications contraindicate it.
Complications of abruptio placentae require appropriate treatment. For example, DIC requires immediate intervention with heparin, platelets, and whole blood to prevent exsanguination.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Premature rupture of membranes:
Treatment
(Professional Guide to Diseases (Eighth Edition))
Treatment for PROM depends on fetal age and the risk of infection. In a term pregnancy, if spontaneous labor and vaginal delivery aren’t achieved within a relatively short time (usually within 24 hours after the membranes rupture), induction of labor with oxytocin is usually required; if induction fails, cesarean delivery is usually necessary. Cesarean hysterectomy is recommended with gross uterine infection.
Management of a preterm pregnancy of less than 34 weeks is controversial. However, with advances in technology, a conservative approach to PROM has now been proven effective. With a preterm pregnancy of 28 to 34 weeks, treatment includes hospitalization and observation for signs of infection (maternal leukocytosis or fever, and fetal tachycardia) while awaiting fetal maturation. If clinical status suggests infection, baseline cultures and sensitivity tests are appropriate. If these tests confirm infection, labor must be induced, followed by I.V. administration of antibiotics. A culture should also be made of gastric aspirate or a swabbing from the neonate’s ear because antibiotic therapy may be indicated for him as well. At such delivery, have resuscitative equipment available to treat neonatal distress.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Premature labor:
Treatment
(Professional Guide to Diseases (Eighth Edition))
Treatment is intended to suppress premature labor when tests show immature fetal pulmonary development, cervical dilation is less than 1½"(4 cm), and the absence of factors that contraindicate continuation of pregnancy. Such treatment consists of bed rest and, when necessary, drug therapy, but neither has been proven beneficial in all patients.
The following pharmacologic agents can suppress premature labor for up to 48 hours:
❑ Beta-adrenergic stimulants (terbutaline, isoxsuprine, or ritodrine): Stimulation of the beta2-adrenergic receptors inhibits contractility of uterine smooth muscle. Adverse effects include maternal tachycardia and hypotension, and fetal tachycardia.
❑ Magnesium sulfate: Direct action on the myometrium relaxes the muscle. It also produces maternal adverse effects, such as drowsiness, slurred speech, flushing, decreased reflexes, decreased GI motility, and decreased respirations. Fetal and neonatal adverse effects may include central nervous system (CNS) depression, decreased respirations, and decreased sucking reflex.
Maternal factors that jeopardize the fetus, making premature delivery the lesser risk, include intrauterine infection, abruptio placentae, placental insufficiency, and severe preeclampsia. Among the fetal problems that become more perilous as pregnancy nears term are severe isoimmunization and congenital anomalies.
Ideally, treatment for active premature labor should take place in a regional perinatal intensive care center, where the staff is specially trained to handle this situation. In such settings, the neonate can remain close to his parents. (Community health care facilities commonly lack the equipment necessary for special neonatal care and transfer the neonate alone to a perinatal center.)
Treatment and delivery require an intensive team effort, focusing on:
❑ continuous assessment of the neonate’s health through fetal monitoring
❑ administration of antenatal steroids to assist fetal lung development, unless contraindicated
❑ maintenance of adequate hydration through I.V. fluids.
Prevention of premature labor requires good prenatal care, adequate nutrition, and proper rest. Insertion of a purse-string suture (cerclage) to reinforce an incompetent cervix at 14 to 18 weeks’gestation may prevent premature labor in patients with histories of this disorder. However, this can be dangerous if an incompetent cervix is misdiagnosed and premature labor is the true cause.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Abruptio placentae:
Treatment
(Handbook of Diseases)
Treatment of abruptio placentae is designed to assess, control, and restore the amount of blood lost; to deliver a viable infant; and to prevent coagulation disorders. Immediate measures for abruptio placentae include starting I.V. infusion (via a large-bore catheter) of appropriate fluids (lactated Ringer’s solution) to combat hypovolemia; placing a central venous line and urinary catheter to monitor fluid status; drawing a blood sample for Hb level and hematocrit determination, coagulation studies, and typing and crossmatching; initiating external electronic fetal monitoring; and monitoring maternal vital signs and vaginal bleeding.
After determination of the severity of abruption and appropriate fluid and blood replacement, prompt delivery by cesarean birth is necessary if the fetus is in distress. If the fetus isn’t in distress, monitoring continues; delivery is usually performed at the first sign of fetal distress. Because fetal blood loss through the placenta is possible, a pediatric team should be ready at delivery to assess and treat the neonate for shock, blood loss, and hypoxia. If placental separation is severe and there are no signs of fetal life, vaginal delivery may be performed unless uncontrolled hemorrhage or other complications contraindicate it.
Complications of abruptio placentae require appropriate treatment. For example, DIC requires immediate intervention with fresh frozen plasma, platelets, and whole blood to prevent exsanguination.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
Premature rupture of the membranes:
Treatment
(Handbook of Diseases)
Treatment of PROM depends on fetal age and the risk of infection. In a full- term pregnancy, if spontaneous labor and vaginal delivery aren’t achieved within a relatively short time (usually within 24 hours after the membranes rupture), induction of labor with oxytocin is usually required; if induction fails, cesarean delivery is usually necessary. Cesarean hysterectomy is recommended if the patient is experiencing gross uterine infection.
Management of a preterm pregnancy of less than 34 weeks is controversial. However, with advances in technology, a conservative approach to PROM has now been proven effective.
With a preterm pregnancy of 28 to 34 weeks, treatment includes hospitalization and observation for signs of infection (maternal leukocytosis or fever and fetal tachycardia) while awaiting fetal maturation.
If clinical status suggests infection, baseline cultures and sensitivity tests are appropriate. If these tests confirm infection, labor must be induced, followed by I.V. administration of antibiotics. A culture should also be made of gastric aspirate or a swabbing from the neonate’s ear because antibiotic therapy may be indicated for the neonate as well. In such deliveries, have resuscitative equipment available to treat neonatal distress.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
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