AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |
Back to Blog
![]() ![]() Color Doppler ultrasound (key finding): vascularity of endometrial echogenic material (key finding) or endometrial mass.Ultrasound: thickening of endometrial echogenic complex or focal endometrial mass.Vaginal delivery if there are no signs of fetal distress. ![]() Regular fetal assessment (e.g., fetal growth).Intrapartum clinical examination: based on clinical features.Transvaginal color doppler ultrasound: to rule out vasa previa.Umbilical cord membranes are continuous with the chorionic plate).Vessels pass over the internal cervical os.Features of fetal hypoxia, especially following rupture of membranes ( ROM).Increased risk of hemorrhage during the third stage of labor.Assisted reproduction procedures (e.g., in vitro fertilization).If the cause of bleeding is not identified: immediate laparotomy.Hemodynamically stable patient: arterial embolization.Immediate repair of visible bleeding lacerations.Supportive measures (e.g., fundal massage, fluid therapy, uterotonic agents).Features of retroperitoneal hematoma (e.g., pelvic pain, signs of hypovolemia).Features of hematoma or bleeding laceration of the female genital tract (e.g., labial or rectal pain, signs of hypovolemia, vaginal mass).Other ( fetal macrosomia, malpresentation of the fetus).Puerperal hematoma (most commonly caused by uncontrolled or assisted vaginal delivery).Lower vaginal trauma (most commonly due to episiotomy).Cervical laceration (most commonly caused by forceps use).Cesarean hysterectomy (generally, mode of delivery and treatment for placenta accreta spectrum).Dilation and curettage ( D&C) or vacuum removal of RPOC under anesthesia/ regional anesthesia.Doppler ultrasonography (confirmatory imaging).Loss of clear space behind the placenta.Disruption of the junction between the bladder wall and uterine serosa.Irregularly shaped, (moth-eaten) placental lacunae.Postpartum hemorrhage at the time of attempted manual separation of the placenta.Placenta previa generally manifests with placenta accreta.History of uterine surgery (e.g., curettage).Surgical (when manual extraction fails). ![]()
0 Comments
Read More
Leave a Reply. |