What is the initial treatment of abruptio placentae?

Updated: Nov 30, 2018
  • Author: Shad H Deering, MD; Chief Editor: Carl V Smith, MD  more...
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Begin continuous external fetal monitoring for the fetal heart rate and contractions.

Obtain intravenous access using 2 large-bore intravenous lines.

Institute crystalloid fluid resuscitation for the patient.

Type and crossmatch blood.

Begin a transfusion if the patient is hemodynamically unstable after fluid resuscitation.

Correct coagulopathy, if present.

Administer Rh immune globulin if the patient is Rh-negative.

Begin course of corticosteroids for fetal lung maturity (if the patient is less than 37 weeks gestation and they have not been previously given during pregnancy). [20]


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