Full Answer Section

• Placental Abruption: Premature separation of the placenta from the uterine wall.
• Other Causes:
  • Cervical lesions (e.g., polyps)
  • Vaginal lacerations
  • Uterine rupture (rare)

Nursing Management of Abruptio Placenta

• Fetal assessment: Monitor fetal heart rate and movement continuously.
• Maternal vital signs: Monitor blood pressure, pulse, respiration, and temperature closely.
• Blood tests: Monitor hemoglobin and hematocrit for blood loss.
• Fluid resuscitation: Administer intravenous fluids to maintain blood volume.
• Blood products: May require blood transfusion depending on blood loss severity.
• Pain management: Administer pain medication as needed.
• Tocolytics: Medications to stop contractions may be used to delay delivery if needed.
• Delivery preparation: Depending on bleeding severity, fetal well-being, and gestational age, prepare for immediate delivery (vaginal or cesarean section).

Antenatal Teaching for Primigravida with APH

• Explain APH: Discuss the signs and symptoms of APH and the importance of immediate medical attention if bleeding occurs during pregnancy.
• Importance of bedrest: Explain the importance of bedrest or activity restriction depending on the severity of bleeding.
• Fetal monitoring: Explain the importance of regular fetal monitoring to assess fetal well-being.
• Emotional support: Provide emotional support and address anxieties related to the pregnancy and potential complications.
• Signs of worsening condition: Educate the patient on signs of worsening condition that require immediate medical attention, such as increased bleeding, severe abdominal pain, or decreased fetal movement.
• Follow-up care: Emphasize the importance of following up with the doctor for regular prenatal visits and monitoring.

Note: This information is for educational purposes only. Always consult with a qualified healthcare professional for diagnosis and treatment of any medical condition.