Revision as of 02:06, 25 August 2011

Background

Mother
- Persistent abdominal pain
- Vaginal bleeding
- Loss of fetal station
- Palpable uterine defect
Fetus
- Bradycardia

Tintinalli

Authors:

@@ Line 1: / Line 1: @@
 ==Background==
-- by weak ut wall or increased ut pressure- scarring from prev c
+*Previous C-section is primary risk factor
-section, or increased pressure by concealed  abruption, abd trauma,
+==Diagnosis=
+*Mother
+**Persistent abdominal pain
+**Vaginal bleeding
+**Loss of fetal station
+**Palpable uterine defect
+*Fetus
+**Bradycardia
-invasive moles, choriocarcinoma. also placenta acreta/ increta/
+==Management==
+*Fluid resuscitation
+*Blood product replacement
+*Emergent delivery of fetus
-percreta- placenta invades ut wall just below surfac (acrete) to
+==Source==
+Tintinalli
-completelly through it (percreta).
-==Diagnosis==
-#increase in ut pain
-#loss of pre normal contraction
-#fetal distress
-==Treatment==
-Emergent surg
 [[Category:OB/GYN]]