Final answer:
For cases of Abruptio Placentae after 34 weeks gestation, active management primarily involves immediate delivery of the baby due to the emergency nature of the condition. The afterbirth, or the delivery of the placenta, is an important stage of childbirth that requires careful examination to prevent postpartum hemorrhage. Immediate delivery is necessary to minimize risks to both mother and baby.
Step-by-step explanation:
Management of Abruptio Placentae after 34 Weeks Gestation
Active management of Abruptio Placentae, also known as placental abruption, after 34 weeks of gestation typically involves the immediate delivery of the baby. This is because placental abruption is considered an obstetric emergency that poses risks to both the mother and fetus, and can result in significant blood loss and decreased oxygen supply to the baby. Immediate delivery can be through a vaginal birth if conditions are favorable, or more commonly, through a cesarean section. Expectant management such as bed rest, administration of antibiotics, or no intervention at all, is generally not advisable as the risks of complications can be high.
In the context of childbirth, the afterbirth refers to the delivery of the placenta and associated fetal membranes after the newborn's expulsion. It is important for the physician to ensure that the placenta is entirely removed, as retained placental fragments can lead to postpartum hemorrhage. Labor can be divided into three stages: dilation, birth, and afterbirth. In the case where the placenta is retained and manual or surgical intervention is required, the risk of postpartum complications increases, thereby justifying the need for prompt attention and delivery of the fetus in cases of Abruptio Placentae.