Treatment of placental abruption

Premature placenta is a relatively serious problem, and when this happens, many pregnant women are particularly worried that it will cause harm to their bodies and the babies in their bodies. Therefore, they want to fully understand the treatment methods for premature placenta. The following content introduces it in detail so that many pregnant women can have a comprehensive understanding.

1. Conservative treatment: Conservative treatment can be given to patients with grade 0-I placental abruption at 32-34 weeks of gestation. Before 34 weeks of gestation, corticosteroids should be given to promote fetal lung maturity. For very premature women with gestational age of 28 to 32 weeks, or <28 weeks, if there is obvious vaginal bleeding, uterine relaxation, and the condition of the mother and fetus is stable, conservative treatment should be considered while promoting fetal lung maturity. The timing of delivery should be decided after weighing the risks to the mother and fetus. During conservative treatment, ultrasound examination should be performed closely to monitor placental abruption. Once obvious vaginal bleeding, high uterine tension, coagulation dysfunction and fetal distress occur, the pregnancy should be terminated immediately.

2. Treatment of postpartum hemorrhage: Due to coagulation dysfunction and uterine atony, patients with placental abruption often suffer from postpartum hemorrhage. Uterine contraction drugs should be given and blood products should be supplemented in a targeted manner. Other methods of controlling bleeding include compression hemostasis, arterial ligation, arterial embolization, and hysterectomy.

3. Treatment of severe complications: Emphasis on multidisciplinary treatment. In the treatment of DIC, the focus should be on replenishing blood volume and coagulation factors. While improving the shock state, pregnancy should be terminated in a timely manner to prevent coagulation substances from continuing to enter the blood vessels and causing consumptive coagulation. For the treatment of renal insufficiency, patients who still have oliguria (urine volume <17ml/h) after shock is improved should be treated with diuretics (furosemide, mannitol, etc.). Pay attention to monitor renal function, maintain electrolyte and acid-base balance, and perform hemodialysis treatment when necessary.

The above introduces in detail the treatment methods for placental abruption. For many women, it is necessary to have a comprehensive understanding of these aspects of knowledge. Only through understanding can they get effective treatment as soon as possible through correct treatment when they have this symptom, so as to avoid harm to the baby in their body and their own body.