Page 119 - Critical Maternity & Newborn Health Nursing

 Discuss the need to have transportation to the hospital available

at times.

 Instruct the client to return to the hospital if bleeding recurs and

to avoid intercourse until after the birth.

 Instruct the client on proper handwashing and toileting to

prevent infection.

3. Address emotional and psychosocial needs.

 Offer emotional support to facilitate the grieving process, if

needed.

 After birth of the newborn, provide frequent visits with the

newborn that mother can be certain of the infant’s condition.

Abruptio Placenta (Accidental Hemorrhage)

Definition:

Premature separation of a normally situated placenta after the 28th week

of pregnancy and before delivery of the fetus.

Incidence:0.5-1%

Educational Video about Abruptio placenta:

https://youtu.be/vHjQMa02PUM?t=11

Etiology: Unknown. but the following factors may be associated with:

1. Hypertensive disorders of pregnancy (30%) due to spasm and

degenerative changes in the decidual arterioles.

2. Trauma as during external version.

3. Sudden drop of intrauterine pressure as rupture of membranes in

polyhydramnios.

4. Folate deficiency and may be vitamin C, K, or E deficiency.

118 Table of Contents