LatePregnancyBleeding晚期妊娠流血.pptxVIP

第二页，共二十九页。 ImportanceMaternal RisksAcute hemorrhageOperative deliveryFetal RisksUteroplacental insufficiencyPremature birthKey PointsIdentify the causeTimely intervention第三页，共二十九页。 Initial AssessmentHistoryAmount of bleeding, recent intercourse or digital exam, severity of pain, traumaPhysical examVital signs, speculum, digital only if no placenta previa, may note cervicitis/ polyp/cancerUltrasoundEvaluation for placenta previaPeriod of observation第四页，共二十九页。 Initial Management of Significant BleedingHemodynamic instabilityHypotensionTachycardiaIV fluidsConsider blood products/transfusionLab te