placenta previa (no animation)

8/9/2019 Placenta Previa (no animation)

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PlacentaPrevia


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is an abnormal low implantation of

the placenta in proximity to theinternal cervical os.

is a condition in which theplacenta attaches to the uterinewall in the lower portion of the

uterus and covers all or parts ofthe internal cervix.


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ass ca on o acen aPrevia

Marginal Previathis is a condition

in which the edge

of the placenta liesat the margin ofthe internalcervical os and maybe exposed duringdilatation


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Partial Previa

this is a conditionwhen the placentacovers the cervical

opening, but notcompletely. In thiscase, the baby must

be delivered viacesarian section


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Complete Previa

when the placenta completely coversthe internal cervical os. This is themost severe type

of placenta previaand requires acesarian delivery


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Risk Factors

Maternal ageMaternallifestyle

d placenta previa with a previous pregCurrently have a multiple fetalpregnancy Previous uterine

surgeryAbnormal shaped

uterus


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Sign of Placenta Previa

Episodic painless brightred vaginal bleeding in

the late second trimesteror early third trimester ofpregnancy withoututerine contractions


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Complications

Maternal blood

loss/hemorrhage

Intra-uterine growth

retardation

i


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Nursing

DiagnosisFluid volume deficitrelated to activeblood loss secondaryto disrupted

placentalimplantation


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Intervention &Collaborative Care

ultrasound exams

no vaginal examination

double set-up procedure if indicated by thephysician

with a small first bleed, patient may be homefor complete bed rest

monitor maternal v/s & fetal well-being

assess blood loss by weighing peripads or bedpads that are bloody

monitor serial hemoglobin & hematocrit levels

steroids shot may be given to help mature thebabys lungs


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M@rhamingh

Szal@mat pfouh.!!! c,)

by: Virgilio R. Antonio, Jr, RN

placenta previa (no animation)

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