Abruptio Placentae vs Placenta Previa Nursing NCLEX Symptoms Causes Management (Placental Abruption)
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- Опубліковано 4 лют 2018
- Placenta previa and abruptio placentae (placental abruption) nursing NCLEX review on differences, symptoms, causes, and nursing interventions.
What is placental abruption? It's the detachment of the placenta from the uterine wall BEFORE the birth of the baby. Two types of abruptio placentae include a partial or total placental abruption.
The placenta is a very important structure for maintaining the pregnancy and helps deliver nutrients and oxygen to the baby along with removing waste via the umbilical cord.
When the placenta detaches before the birth of the baby, this can lead to complications that affect both the baby and mother. The baby may lose nutrients and oxygen delivery via the damaged placenta, and the mother could experience hemorrhage along with a life threatening conditions called DIC (disseminated intravascular coagulation).
Where should the placenta normally detach from the uterine wall? After the birth of the baby (the times vary but usually within 10-20 minutes after delivery of the baby)
What are the causes of placental abruption?
Risk Factors for abruptio placenta include: chronic hypertension, development of preeclampsia, previous placental abruption, trauma to abdomen, cocaine or smoking, PROM (premature rupture of the membranes), multiples or many pregnancies.
Placental abruption symptoms include: dark red bleeding, extended fundal height (due to concealed bleeding), tender uterus, abdominal pain, hard abdomen, fetal distress etc.
What is placenta previa? It is the abnormal attachment of the placenta in the uterus near or over the cervical opening.
The placenta is a very important structure for maintaining the pregnancy and it helps deliver nutrients and oxygen to the baby along with removing waste via the umbilical cord.
Where should the placenta normally attach? The placenta should attach either at the top or the side of the uterus, NOT in the lower parts of the uterus, near or over the cervical opening.
Placenta previa causes:
Maternal age greater than 35 years old
Multiples
Already had a baby
Drug use: cocaine or smoking
Surgery to the uterus that causes scarring like fibroid removal or c-section etc.
There are different types of placenta previa. These types include:
Total placenta previa: the placenta completely covers the cervical opening
Partial placenta previa: the placenta partially covers the cervical opening (not fully covered)
Marginal placenta previa: the placenta is near the edge of the cervical opening
Cases of placenta previa vary along with treatment. Placenta previa can be detected at the 20 week ultrasound.
Sometimes if the placenta is found to be low lying (partial or marginal previa) the placenta will move upward away from the cervix as the uterus grows throughout the rest of the pregnancy. The position of the placenta will be reassessed at the 32 week ultrasound. Therefore, in some cases of placenta previa, it will correct itself.
Placenta previa symptoms include: bright red painless bleeding, relaxed or soft uterus, and episodes of bleeding that are visible, bleeding after intercourse, abnormal baby position (breech or transverse lie).
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RegisteredNurseRN..you are a great help for us😊
hey can you please do a video on the nursing management for Malaria.
Thank you so much for the kind comment. I'm so happy to help!
Thank you very much :)
Thank you for the video suggestion. I plan to cover this in the future sometime :)
I've had both conditions simultaneously (1992). Thankfully, we both made it. It was also my first and last pregnancy. Aparently caused by severe endometriosis which I then battled another 15 years.
Today I am a blessed mom of a mature daughter... and my daughter gave us a beautiful grandson whose 16 months old.
God really turned tragedy, fear, pain and many tears into joy and blessings.
Blessings to you and yours from South Africa.
It's been almost a year since this Placenta Abruption took the life of both my daughter and my 7 month old grand daughter. It was so unexpected. We were all on vacation when my daughter collapsed and everyone including off-duty nurses tried to revive her. We thought it was some kind of seizure. About 4 hours later, at the hospital, Doctors tried to save the baby, but it was too late, and about an hour after that, my daughter passed away. It's most definitely the worse thing i've ever experienced in my life. She left behind a 3 year old boy and her husband, who was away in naval deployment at the time. There were no signs in the days before, or even earlier that day. Doctors simply said that when this happens, it happens very quickly, and it is almost impossible to save a persons life when this happens in the way that it did to my daughter. Blessings to all, be safe, life can really be fragile.
I'm so sorry for your loss 💔
I'm so AbSolUtElY sorry for your loss. I trust you can find peace and calm after such shock in life.Blessings to you and yours from South Africa.
Am so sorry for this sir!..this inspires us health workers to do the utmost best,but in the end you can't control what's destined to happen,Much condolences mate.
Prayers for your family and your angels.
Same situation now am facing.. but my baby boy saved me and he lost his life. He has brain clot. He survived for 11 days and left us...
Its crazy to go back and research this topic because with my 1st born I was 16 at the time . When the doctor's assistant told me I had placenta privia she didn't really explain what it was she just said be careful 🤷♀️.. well when I hit 32 weeks exactly I started bleeding heavily and was so scared . They managed to stop my labor for 24 hours and got both steroid shots to help the baby's lungs mature but the next day I was in full blown labor again . Didn't have time for anything the doctors just did a shift change so when he came in he still had his regular clothes on lol . . After my son came my mom told me that my placenta was the 1st thing that came out and that it was in pieces! . I didn't realize how serious everything was until after I had my son and im honestly just glad he survived . He was born 3 pounds 10 ounces. Today he is 8 years old and the greatest boy ever plays sports and loves life ❤ these videos are awesome!
You are literally the ONLY reason I have passed ANY of my classes the entire time I've been in nursing school. Thank you so much! Need more Geriatric videos though. Sexual decline, hearing, vision, etc.
Continue doing great things! You do all of this without charging a dime! I don’t know what you believe, but the blessings that will come to you will be plentiful! Thanks, you are a true nurse.
My wife is O negative. Im sitting in the ENCU with my daughter Charlotte who made it to 40 weeks. We had a scheduled c section for July 31st. once she was pulled out I noticed how white she was and how eractic her breathing was. With limp arms and legs the only thing keeping me hopeful was her cry. I stayed with her as they took her to the
NICU unsure what was happening the specialist was on his way to us.After The longest 15 minutes ever he arrived. Without missing a beat he jumped in and did an overall
check. Minutes later he said she seemed to be enimic and he was going to run some test but would have to run 2 tubes through her belly button and hook up an IV. He the said he would like to do it without me present.Being a proffesional myself I totaly understood and even with my heart saying dont leave her I stepped out and let them do their work. The test showed her red blood count very low.So they ordered 2 blood transfusions. This helped out alot. She was getting color in her arms and legs. She seemed to be at the very least getting comfortable. Then later that night she started having a hard time breathing on her own so they had to move her to another hospital more equip to handle the issues. She responded really well to the special gas(the name has left my head). A day later she has leveled off and is being weened off all the supplements. We are on day 3 and she is slowy getting better. I have been with he ever since she arrived. The.nurses and my friends keepbtelling me to go home and get some rest. I believe she is comfortable and in good hands so now i will go see momma then home. I believe 100% that modernC medicine is giving our baby a real chance.God bless #PrayforCharlotte
I just want to challenge myself and take the NCLEX. I'm reviewing thru your videos. Great teacher! May our Lord Jesus continue to bless you.
That is great! Thank you for your kind words. I really appreciate you taking the time to watch my videos. I pray that the Lord blesses you in your studies :)
You're getting a 48 year old returning student through Nursing School; and I thank you.
You’re videos are wonderful. Please keep doing what your doing!! We need more nurses like you 😇
You are heaven sent and I appreciate what you do from the bottom of my heart! May God continue to bless you!
I'm a nurse in Iran.....and thank you for your good lectures
Thank you Sarah, you don't know how much help you given me, and confidence gain I to pass the NCLEX.
thank you so much. i took the exam last march 17 and passed this videos helped me a lot..thank you so much 100x
love, love, love your lectures. You are a God send!!!! Your lectures are helping me pass nursing school. huge fan. thanks, Sara
Thank you so much for your videos! I have made it through all of my exams due to your amazing succinct videos.
Really love all your lectures. Thank you. Means a lot ❤
This is the first time i understand DIC and abruptio placentae, you are amazing
Hi. I am gonna be taking my nclex in couple of months. Can you please please do a video on psychiatric medications. Like can you make an easier version to understand those. Please. I have been watching all your videos to prepare for my test. Thank you. Xoxo
Thank you guys for sharing your stories. It also helps with memorizing these 2 conditions
I've been watching your videos for 2 years now, and your videos are very simple in a way that it could be understood, at the same time, informative as it provides necessary details and information??
:D
So helpful! Exam is tomorrow and I understand a lot more!
thank you for this wonderful quite simple to understand videos ... GODBLESS YOU ALWAYS
I'm so glad you're so dedicated to upload videos like this, It helped me a lot thank you so much
I m in my 7th month ended.... suffering from placenta previa grade 3rd 🙄🙄🙄🙄🙄spotting is the main symptoms I'm watching these days ...it's really scary 🙄🙄please pray for me N for my baby🙏🏼this is my first baby 😔
That is an awesome video!! I really appreciate all of your lectures!! Thanks :)
Thank you so much for helping me. Love your videos, so much help. More power and God bless.
Awesome video. You are a life saver. I’m taking NCLEX tomorrow and I needed to clear up my confusion on this.
Can you please make some videos about PROM and PPROM? I love all of your content and it has helped me SO MUCH throughout nursing school!
Sorry to hear about your daughter and granddaughter, God's strength, and continued comfort upon you and family. This is really hard to accept. God bless you and family 🙏
Okay but honestly why can my teachers not just explain things like this!😂
Thank you for these wondering videos. I am on RN program and it helps me a lot for study.
You're better than my textbook!
Thanks a lot for that amazing explanation i always follow your videos and the way that you use to teach us it is so easy to understand
My OB final is this week and it makes me want to vomit bc I'm barely passing. Thank you for explaining this so clearly 😭
Thank you! I have a test this week and this helped a lot!
You're most welcome! I hope your exam goes great :)
Really love all your lectures. Thank you
your videos are great. i always end up watch this videos the night before my exmans
I've had a lot of trouble keeping these 2 straight- the detachment vs attachment issue will make it much easier to remember, thank you so much!
This video is very helpful! My EMT book and course did not go too much into explanation so this video really helped me.
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This vedio is soo helpfully...
Please make a video for Postpartum Hemorrhage! So much testing is done on baby mamas with postpartum hemorrhage!
hello, I love your videos, would you please make a video on disseminated intravascular coagulation.
Thank you for your videos , it's very helpful for me. Love it !
Thank you Sera ur a genius
Can you do a video on gestational diabetes, preeclampsia and eclampsiA
your videos are helping me so much this quarantine 💖 thank you so much 🙇
Hello, thank you very much for the video. I just have a question. Patients with both of these conditions are usually diagnosed fluid volume deficient. I don;t understand why, is it because of the bleeding? Thks!
Thank you so much for your videos!!! 💗
Thank you so much for your videos 😊. Please more maternity / midwifery related videos
I have no words to thank you..,😍😍😍😍
wow..totally excellent explanation
, easy to grasp.
Thanks...
Can you do postnatal assessment and assessment of the newborn
Superb videos, simple and easy to follow
Thanks a lot!!
Hi Sarah, how about Surgical Nursing? Seen almost all your videos, but none for surgical nursing or operating room? Anyway, I love your videos. These are really helpful. Thank you! Don't get tired. :)
Thanks
Thank you for this video💖💖💖
Mmm you made a huge different I like the way you explain you make it very simple from university of Zululand in South africa
Prior surgery for endometriosis can also cause it I know but My placenta did migration and I had natural delivery with my last . She had a low lying placenta.
Your videos are very helpful. Godbless
voce 'e maravilhosa .. thank you for your videos
It's wonderful video!
Nice explanation
Hello Teacher . Very GOOD
God Bless you
Thank you 😘😇😇
I like ur videos very informative continue informing us.
Thank u sooooooo much mammm I like your vedios
Watching from kenya❤️
In my first pregnancy placental abruption. Is it affected subsequent pregnancy?
love it
You’re the best
Well explained 👌💯
I like your videos
are there video of abnormal labour in this channel??
Being pregnant is a scary thing I'm 16 weeks and I have a low placenta :/
Thanks can you do a review on Diabetes in pregnancy
You're most welcome, Yvonne :) Yes, I hope to cover this topic during this series. Thank you for letting me know you would like to see it covered!
I got pregnant at the age of 20 , i was diagnosed w/ complete placenta previa at 5-6 months of pregnant. This was my first pregnancy, with no hx of anything , i never had pregnancy in the past, or surgeries, I don’t smoke or drink . It was very weird but i did got admitted for at 31 weeks until i had my c-section at 36 weeks .... is been 3yrs know healthy baby boy . But my concern is that what happens if i get pregnant again will it happen again?
you can always ask your OB and with your history they can keep a close eye on you!
Iam hurt l had a placenta abruption at 35 weeks and my baby did not make it
So sorry. 💚
When you say abruptio placentae it's like you're casting a counterspell against voldemort.
Abruptio previa sounds like an attack spell used in Harry Potter.
Please translate
Thanks
You're most welcome, Crystal! Thank you for the comment!
@@RegisteredNurseRN hi Ms. Sarah can you do video for ob assessment