A 29-year-old G3P2 woman at 34 weeks' gestation is involved in a serious car accident, loses consciousness briefly, and presents to the emergency department awake and alert with a severe headache, abdominal, and pelvic pain. Her vital signs include a blood pressure of 150/90 mm Hg, heart rate of 120/min, temperature of 37.4°C (99.3°F), and respiratory rate of 22/min. Fetal heart rate is 155/min. Physical examination reveals minor bruises on the abdomen and limbs, blood in the vault upon vaginal inspection, and strong, frequent uterine contractions. Which of the following is most likely a complication of her current condition?
AIUGR
BSubarachnoid hemorrhage
CVasa previa
DDIC
After 3rd stage of labour and expulsion of placenta, the patient is bleeding heavily. Ideal management would include all except:
ACheck for laceration of labia
BUterine massage and I/V oxytocin
CAPGAR scoring
DCheck for placenta in uterus
How do you manage placenta accreta?
AClassical cesarean; hysterectomy
BLow vertical cesarean; hysterectomy
CLow transverse cesarean; hysterectomy
DClassical cesarean; myometrial resection
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