Abruptio placenta, also called placental abruption, is wherein the placenta separates from the uterine wall prematurely, usually after the 20th week of gestation, producing hemorrhage. It is a common cause of bleeding during the second second half of pregnancy. Firm diagnosis, in the presence of heavy maternal bleeding, may indicate termination of pregnancy. Fetal prognosis depends on the gestational age and amount of blood lost; maternal prognosis is good if hemorrhage can be controlled.
Nursing Care Plan
Below are nursing care plans for abruptio placenta.
Ineffective Tissue Perfusion
One of the symptoms of premature separation of the placenta is uterine bleeding with a small amount to moderate of dark-red vaginal bleeding in 80-85% cases. Bleeding may result to maternal hypovolemia and coagulopathy.