Determining The Severity Of The Condition
The doctor will make a diagnosis often based upon the symptoms as well as the amount of blood and pain present. An ultrasound may indicate the location of the bleeding and is useful to check on the baby's condition as well.
Placental abruption is classified in the following manner:
Grade 1 - in which is a small amount of bleeding from the vagina and some contractions without signs of fetal distress or hypotension in the mother
Grade 2 - in which there is increased bleeding, uterine contractions and some signs of fetal distress indicated by fetal heart rate
Grade 3 - which includes moderate to severe bleeding or concealed bleeding, tetany (uterine contractions which do not relax), abdominal pain, low blood pressure and the death of the baby
Treating Placental Abruption
Treatment is determined based upon overall health, medical history, extent of the placental abruption, tolerance for medications or procedures and the woman's opinions as well. There is no way to reattach the placenta and once the condition is diagnosed, and the treatment is dependent upon the grade and stage.
Caesarean delivery is performed in most cases of placental abruption and since there is often a large loss of blood, a transfusion may be necessary as well.