Solusio Plasenta

Dr. Pim Gonta, Sp.OG

Evelyn Lee 2013.061.007
Felicia Maria Lolong
Olivia
Altius

Definition
a/: detachment of placenta from the
normal implantation site lepasnya
before the baby is born

Epidemiology

Jenis Perdarahan
Revealed bleeding (eksternal)
Concealed bleeding

Risk Factors
Older age and
multiparity
Preeclampsia
Chronic
hipertension
KPD preterm
Kehamilan kembar
Hidramnion

Smoking
Alcoholic
Trombophilia
Coccain user
History of solusio
plasenta
Myoma uteri

Triggers

External / internal version

Accident
Abdominal trauma
Amniotomi
Twisted umbilical cord or short
umbilical cord

Patophisiology

Clinical Manifestation
Concealed/revealed ?
Detachment area of placenta
Area >>>:
Fetal distress
Fetal death
Tetania uteri
DIC
Hypovolemic shock
Vaginal bleeding
Uterus tegang
Abdormal uterus contraction

Lab

HB
Ht
Thrombocyte count
MDT
Prothrombine time
Partial thromboplastine time
Fibrinogen
Fibrinogen degradation product

Treatment

Emergency
Expectative
Vaginal delivery
Sectio caesaria

Complications
Consumptive coagulopathy
Renal failure
Uterus couvelaire

Prognosis
Maternal mortality: 0,5-5%
Child mortality e.c.
hipoxia intrauterine, birth trauma,
prematurity