The course of treatment depends on the amount of abnormal uterine bleeding, whether the fetus is developed enough to survive outside the uterus, the amount of placenta over the cervix, the position of the fetus, the parity (number of previous births) for the mother, and the presence or absence of labor.
Early in pregnancy, transfusions may be given to replace maternal blood loss. Medications may be given to prevent premature labor, prolonging pregnancy to at least 36 weeks. Beyond 36 weeks, the benefits of additional infant maturity have to be weighed against the potential for major hemorrhage.
Cesarean section is the method for delivery. It has proven to be the most important factor in reducing maternal and infant death rates.
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