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B.HEMANATH
DEFINITION
Mixed
Marginal separation
Partial separation
Pre-placental separation
Couvelaire uterus
TYPES
ETIOLOGY
Couvelaire uterus
Dark port wine colour
Sub peritoneal petechial haemorrhages
Free blood in peritoneum sometimes
Other Organs
Liver – fibrin knots in sinusoids
Kidneys – ATN and ACN
Shock proteinuria
CLINICAL GRADING
Mixed
Revealed
(Concealed predominate)
Mixed or Concealed
With rupture uterus
With rectus hematoma
With appendicular perforation
With volvulus
PROGNOSIS
Depends on
Clinical types
Degree of placental separation
Interval b/w placental separation and baby delivery and
efficacy of treatment