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Descolamento da placenta

Последний просмотренный: 16 Aug 2025
Last updated: 17 Jul 2024

Резюме

Определение

Анамнез и осмотр

Ключевые диагностические факторы

  • sangramento vaginal
  • dor abdominal
  • contrações uterinas
  • sensibilidade uterina
Полная информация

Другие диагностические факторы

  • lombalgia
  • óbito fetal
Полная информация

Факторы риска

  • hipertensão crônica
  • pré-eclâmpsia
  • tabagismo
  • uso de cocaína
  • trauma
  • parto cesáreo prévio
  • ruptura prematura das membranas fetais pré-termo
  • multiparidade
  • idade materna avançada
  • polidrâmnio
  • corioamnionite
  • malformações uterinas
  • descolamento da placenta prévio
  • gestações multifetais
  • oligoidrâmnios
  • leiomiomas uterinos
  • trombofilias
Полная информация

Диагностические исследования

Исследования, которые показаны в первую очередь

  • monitorização fetal
  • Hb e hematócrito
  • exames de coagulação
  • teste de Kleihauer-Betke (K-B)
  • ultrassonografia
Полная информация

Исследования, проведение которых нужно рассмотреть

  • patologia placentária
Полная информация

Алгоритм лечения

Начальные

todos os pacientes

Острый

feto vivo: >34 semanas

feto vivo: ≤34 semanas

morte fetal

Составители

Авторы

Yinka Oyelese, MD, FACOG
Yinka Oyelese

Director, Obstetric Imaging

Beth Israel Deaconess Medical Center

Harvard Medical School

Boston

MA

Раскрытие информации

YO is an author of a number of references cited in this topic.

Anthony M. Vintzileos, MD, FACOG
Anthony M. Vintzileos

Chairman

Department of Obstetrics and Gynecology

Winthrop University Hospital

Mineola

Professor

Obstetrics, Gynecology, and Reproductive Medicine

Stony Brook School of Medicine

Stony Brook

NY

Раскрытие информации

AMV declares that he has no competing interests.

Рецензенты

Christopher Glantz, MD, MPH

Professor of Obstetrics and Gynecology

University of Rochester School of Medicine

Rochester

New York

NY

Раскрытие информации

CG declares that he has no competing interests.

Austin Ugwumadu, PhD, FRCOG

Consultant/Senior Lecturer in Obstetrics and Gynaecology

St George's Hospital

London

UK

Раскрытие информации

AU declares that he has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

Список литературы

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

Основные статьи

American College of Radiology. ACR appropriateness criteria: second and third trimester bleeding. 2020 [internet publication].Полный текст

Society for Maternal-Fetal Medicine (SMFM), Gyamfi-Bannerman C. Society for Maternal-Fetal Medicine (SMFM) Consult Series #44: Management of bleeding in the late preterm period. Am J Obstet Gynecol. 2018 Jan;218(1):B2-8.Полный текст  Аннотация

Статьи, указанные как источники

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
  • Descolamento da placenta images
  • Отличия

    • Trabalho de parto pré-termo
    • Placenta prévia
    • Corioamnionite
    Больше Отличия
  • Guidelines

    • Intrapartum care
    • ACR appropriateness criteria: second and third trimester vaginal bleeding
    Больше Guidelines
  • Folletos para el paciente

    Pressão alta: o que é?

    Pressão alta: quais tratamentos funcionam?

    Más Folletos para el paciente
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