| ID | 343 |
|---|---|
| Name | PLACENTA PREVIA |
| Cause | |
| Signs Symptoms | |
| Diagnosis | Confirmation of diagnosis: 1. Localization of placenta by— ultrasonography 2. Clinically by direct visualisation during C/S |
| Investigations | |
| Management | |
| Introduction | A placenta is described as previa when it is wholly or partly attached to the lower uterine segment. |
| History | |
| Etiology | |
| Clinical Features | Clinical features: History of recurrent attacks of bleeding. There is no pain. Presence of malpresentation and high-up presenting part. Uterus is felt soft and elastic. P/V Exam: Vaginal examination should only be done prior to termination of pregnancy in the operation theatre under anesthesia keeping everything ready for C/S. |
| Preventions | |
| Treatment | Treatment: 1. If severe bleeding starts while the patient is in hospital, C/S is immediately performed. 2. If bleeding is not severe , expected and conser-vative treatment is given to carry the pregnancy to full term, a. Hospitalization, Bed rest, Observation, b. Treatment of anemia, c. Sedation, d. Dextrose saline & blood transfusion in emergency. 3. At term: 38th week- Type-I anterior or posterior Type-II anterior Type-II posterior Type-Ill & Type IV |
| Complications | |
| Prognosis | |
| Types | |
| Classification | |
| Observation | |
| Pathology |
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