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Diagnostic measures for abruptio placentae include observation of clinical features, speculum examination, and ultrasonography to rule out placenta previa. Decreased hemoglobin (Hb) levels and platelet counts support the diagnosis. Periodic assays for fibrin split products aid in monitoring the progression of abruptio placentae and detect the development of DIC.
Source: Professional Guide to Diseases (Eighth Edition), 2005
Special diagnostic measures that confirm placenta previa include:
❑ transvaginal ultrasound scanning for placental position
❑ pelvic examination (under a double setup because of the likelihood of hemorrhage), performed only immediately before delivery to confirm the diagnosis. In most cases, only the cervix is visualized.
Digital examination should be deferred in any pregnant woman in the third trimester with vaginal bleeding, until ultrasound rules out placenta previa.
Source: Professional Guide to Diseases (Eighth Edition), 2005
Diagnostic measures for abruptio placentae include observations of signs and symptoms, pelvic examination (under double setup), and ultrasonography to rule out placenta previa.
CLINICAL TIP: If a clot can be seen by ultrasound just under the placenta, delivery is generally advisable.
Decreased hemoglobin (Hb) levels and platelet counts support the diagnosis. Periodic assays for fibrin split products aid in monitoring the progression of abruptio placentae and detecting the development of DIC.
Source: Handbook of Diseases, 2003
Special diagnostic measures that confirm placenta previa include:
❑ transvaginal ultrasound scanning for placental position
❑ pelvic examination, performed only immediately before delivery. In most cases, only the cervix is visualized.
Source: Handbook of Diseases, 2003
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