Obstetric and Gynecological Nursing - The Carter Center

If the blood loss is revealed;
More severe degrees are associated with abdominal pain
The uterus has a hard consistency and there is a guarding on
palpation of the abdomen.Fetal parts may not be palpable the
fetal heart is unlikely to be heard with a fetal stethoscope.
Management
- Any women with a history suggestive of placenta
abruption needs urgent medical attention. She should be
transferred urgently to a consultant obstetric unit after
securing interavenous infusion.
- Pain exacerbates shock and must be alleviated
- Secure interavenous infusion
Observation
- Vital sign should be recorded
- Urinary out put is accurately assessed
- Fluid intake must also be recorded accurately
- If the fetus is alive, the fetal heart rate should be
monitored continuously
- Any deterioration in the maternal or fetal condition must
be immediately reported to the obstetrician.
If the mother is not in labour and the gestation is less than 37
weeks she may be cared for in an antenatal area for a few
days and assessed for the risks.
157