What are the classification of placenta abruptio? ?

Placenta abruptio is classified into three categories based on the severity of the condition:

1. Grade 1: Mild placenta abruptio, where there is minimal bleeding and the mother and baby are stable.

2. Grade 2: Moderate placenta abruptio, where there is more significant bleeding and the mother and baby may be at risk of complications.

3. Grade 3: Severe placenta abruptio, where there is heavy bleeding and the mother and baby are at high risk of serious complications, including fetal distress, preterm birth, and maternal hemorrhage.

Classification of Placenta Abruptio

Based on Severity

- Grade 0: Asymptomatic, no evidence of abruption
- Grade 1: Mild abruption, vaginal bleeding, uterine tenderness, fetal heart rate monitoring (FHRM) reassuring
- Grade 2: Moderate abruption, heavier vaginal bleeding, uterine tenderness, fetal distress on FHRM
- Grade 3: Severe abruption, massive vaginal bleeding, uterine rigidity, fetal distress or death

Based on Extent of Detachment

- Marginal: Detachment occurs at the edges of the placenta
- Central: Detachment occurs in the central portion of the placenta
- Total: Complete placental detachment from the uterine wall

Based on Timing of Occurrence

- Antepartum: Occurs before labor
- Intrapartum: Occurs during labor
- Postpartum: Occurs after delivery of the baby

Based on Etiology

- Idiopathic: Unknown cause
- Trauma-related: Maternal trauma, uterine rupture
- Hypertension-related: Preeclampsia, eclampsia
- Cord accident: Umbilical cord prolapse, cord entanglement
- Cocaine use
- Other: Smoking, advanced maternal age, multiple pregnancies