Describe the obstetric management of abruptio placenta.
Obstetric management consists of vigorous maternal resuscitation with fluids and blood replacement and delivery of the fetus. In the presence of a small abruption and in the absence of fetal distress a vaginal delivery may be attempted. In the presence of life-threatening hemorrhage or fetal compromise, cesarean section is the most expedi-tious route of delivery. Preventing and treating coagulopa-thy requires evacuation of the uterus as well as transfusion of coagulation factors and platelets, as indicated.