Mother: | Fetus: |
Ensure patent airway, adequate ventilation and oxygenation, volume status, intubation may be necessary | Abdominal examination is of critical importance in assessing fetal wellbeing, as the main cause of fetal death results from maternal shock and maternal death |
Manual displacement of the uterus to the left to reduce IVC compression, if spinal motion restriction is deemed necessary logroll to the left 15 - 30 degrees | Evaluate for abdominal tenderness, rigidity, guarding and rebound tenderness, which may be signs of the feared complication of placental abruption. |
Ensuring mother volume status is vital to placental perfusion and thus fetal perfusion | other concerning conditions include transverse lie, palpation of fetal parts and US showing retroplacental hematoma |
Baseline lab evaluation including fibrinogen levels, which can help elucidate early DIC -Kleihauer-Betke test -FAST exam -Consider CT | Fetal heart rate monitoring is crucial, fetal nonreassuring patterns is an ominous sign |