Describe the obstetric management of abruptio placenta

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.