Placental abruption classification: Difference between revisions
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Abruptions are classified according to severity in the following manner: | Abruptions are classified according to severity in the following manner: | ||
*'''Grade 0''': Asymptomatic and only diagnosed through post partum examination of the placenta. | *'''Grade 0''': Asymptomatic and only diagnosed through [[post partum]] examination of the [[placenta]]. | ||
*'''Grade 1''': The mother may have vaginal bleeding with mild uterine tenderness or tetany, but there is no distress of mother or fetus. | *'''Grade 1''': The mother may have vaginal bleeding with mild uterine tenderness or [[tetany]], but there is no distress of mother or fetus. | ||
*'''Grade 2''': The mother is symptomatic but not in shock. | *'''Grade 2''': The mother is symptomatic but not in shock. Some evidence of [[fetal distress]] can be found with fetal heart rate monitoring. | ||
*'''Grade 3''': Severe bleeding (which may be occult) leads to maternal shock and fetal death. There may be maternal [[disseminated intravascular coagulation]]. Blood may force its way through the uterine wall into the serosa, a condition known as [[Couvelaire uterus]]. | *'''Grade 3''': Severe bleeding (which may be occult) leads to maternal shock and fetal death. There may be maternal [[disseminated intravascular coagulation]]. Blood may force its way through the uterine wall into the serosa, a condition known as [[Couvelaire uterus]]. | ||
Latest revision as of 00:41, 24 July 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Cafer Zorkun M.D., PhD.
Classification
Abruptions are classified according to severity in the following manner:
- Grade 0: Asymptomatic and only diagnosed through post partum examination of the placenta.
- Grade 1: The mother may have vaginal bleeding with mild uterine tenderness or tetany, but there is no distress of mother or fetus.
- Grade 2: The mother is symptomatic but not in shock. Some evidence of fetal distress can be found with fetal heart rate monitoring.
- Grade 3: Severe bleeding (which may be occult) leads to maternal shock and fetal death. There may be maternal disseminated intravascular coagulation. Blood may force its way through the uterine wall into the serosa, a condition known as Couvelaire uterus.