Placental Abruption Management | APH | Diagnosis, Complications & Management
Placenta Previa is the condition where the placenta gets implanted in the lower segment over the internal os or near it.
Antepartum hemorrhage is the bleeding from the genital tract during pregnancy after the viability of the fetus or after 28 weeks of gestation, and the most common reason is the placenta-derived.
a) Placenta previa
b) Abruptio placenta
Types–
Type – I Low lying
Type – II Marginal
Type – III Incomplete / Partial
Type – IV Complete / Total
Signs & Symptoms–
Vaginal bleeding – Bright red (causeless, painless, recurrent)
Malpresentation
FHS – Normal Fundal height corresponds to weeks of gestation
Management of Placenta Previa | Diagnosis, Complications & Management | APH
Placenta Previa can be best diagnosed by (TVS) Transvaginal sonography which is safe & accurate.
The complication associated with this disease for mother & fetus is as follows-
Mother –
– Shock
– Preterm Labour
– Malpresentation
– Postpartum hemorrhage
– Cord prolapse
– More operative interference
– Retained placenta
– Embolism
– Subinvolution
– Sepsis
Fetus –
– IUGR (Intrauterine growth retardation)
– LBW (Low birth weight)
– IUD (Intrauterine death)
– Congenitally malformed fetus
– Birth injuries
– Asphyxia
Management
– It depends on fetal maturity, bleeding, and maternal health.
1. Conservative / Expectant Management
2. Active management
Watch here about the Placenta Previa Definition, Types, Clinical Symptoms & Signs – https://youtu.be/m9FJvXvrTa0
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