Placenta Previa

Placenta previa is an improperly implanted placenta in lower uterine segment caused by multiparity, presence of myomas, previous CS, uterine abnormalities.

Classification of Placenta Previa

• complete (total or central)
• partial
• marginal or low lying

There is presence of mild bleeding to hemorrhage leading to anemia, shock, fetal and maternal deaths, sepsis. There is also painless bleeding as early as 7 months; with soft uterus.

Diagnosis for Placenta Previa

• ultrasound
• identification of fetal position
• hemoglobin and hematocrit count

Sterile vaginal exam deffered unless double set up is available

Nursing Implications for Placenta Previa

• strict bedrest
• close monitoring of bleeding and maternal and fetal well-being
• preventive shock measures
  

Enter your email address:

Delivered by FeedBurner