Re: Abruptio placenta and ultrasound diagnosis

From: James Smeltzer (James.Smeltzer@wellstar.org)
Wed Jan 12 11:16:57 2005


Abruption is unpredictable and such a catastrophic abruption usually has symptoms the triad of unremitting pain, hard uterus and vaginal bleeding. At times it is silent, as in this case, for reasons that are beyond me. There is a recurrence risk. Am unaware of association with diarrhea. Cramping pain related to uterus could be obscured by diarrhea.

JSS

--
James S. Smeltzer, MD, FACOG, SMFM
Consultant, Maternal Fetal Medicine
Wellstar Physicians' Group
Northwest Women's Care
787 Campbell Hill St
Marietta GA 30060
James.Smeltzer@wellstar.org
VM 678-290-3035
Off 770-528-0260
Page 404-318-3451

>>> rlimos@gmail.com 1/11/2005 6:51:15 AM >>>

I had a service patient who had a routine obstectric scan about 6 days ago and everything was normal and came to the hospital yesterday for bouts of diarrhea. The resident obstetrician checked the baby for fetal well being and the baby had fetal bradycardia. On emergency c-section they found out that there was an abruption placenta of about 50%. The APGAR Score of the baby was 0 and presently on ventilator.

My question is did I miss the abruptio or the diarrhea precipitated this event? I am trying to retrieve the films we took from the patient for review as we routinely take pictures of the placenta.

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