Placenta Previa

• Placenta Previa 


  Implantation in the lower segment
• Placenta Previa

  Types:

  • Total - completely covers the cervical os
  • Partial - partially covers the cervical os/ occludes a portion
  • Marginal - placental border reaches the border of the cervical os
  • Low-lying - implantation in the lower rather than in the upper portion; most common
• Placenta Previa

  Management:

  • Bed rest, left lateral position - to prevent further bleeding; relieves compression of the inferior vena cava.
  • No IE and internal FHR monitoring - to prevent trauma to the placenta
  • FHT monitoring - to look for fetal distress
• Placenta Previa

  In preparation for potential complications; must have a double set (OR/DR)
• Placenta Previa

  Signs and Symptoms:

  • Color: bright red
  • Bleeding: painless
  • Uterus: soft and relax