Placental abruption and the observation and nursing care of complications.doc

 PAGE \* MERGEFORMAT 10 Placental abruption and the observation and nursing care of complications [Keywords:] abruption, complications, nursing Placental abruption is 20 weeks of pregnancy or childbirth, the normal position of the placenta before the baby is delivered, some or all of the peel from the uterine wall [1]. This disease begins abruptly, fast progression of the disease, if untreated, can be complicated by postpartum bleeding, DIC and coagulopathy, acute renal failure, still births and other life-threatening female child, now 28 patients in our hospital were retrospectively analyzed placental abruption, placental abruption to raise awareness of its Prevention of complications and appropriate care measures. clinical data 1. General Information Our hospital in October 2005 ~ October 2008 3352 hospital delivery times, 28 cases of placental abruption occurs, the rate was 0.84%. Mild in 18 cases, 10 cases of severe, pregnant women aged 21 to 36 years of age, gestational age at 28 41 weeks, 19 patients with early maternal, the mother of 9 cases. All the cases were in the post-natal maternal placental surface and the pressure trace a blood clot and confirmed. 2. Clinical symptoms and incentives The patients with vaginal bleeding in 18 cases, abdominal pain in 15 cases, no obvious symptoms in 5 cases, prenatal diagnosis of 23 cases of placental abruption. Rupture of membranes in 7 cases, 8 cases of severe preeclampsia, twin 3 cases, 2 cases of fetal death, 4 cases of umbilical cord is too short, too much amniotic fluid in 3 cases, trauma in 1 case, 3 cases of unknown cause, cord around neck in 1. (symptoms and inducing factors overlap. 3. Mode of delivery and results 28 cases of placental abruption, in which 2 cases hysterectomy, cesarean section 17 cases (60.71%), and the remaining natural childbirth. 6 cases of postpartum hemorrhage, uteroplacental apoplexy in 2 cases, 5 cases of coagulation dysfunction, fetal distress 12 cases, 8 cases