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obstetrics_placenta previa (risk factors (multiparity, multiple pregnancy,…
obstetrics_placenta previa
history
antepartum hemorrhage
risk factors
multiparity
multiple pregnancy
advanced maternal age
previous Caesarean section/surgeries
past history
complications
malpresentation
massive bleeding
investigations
USG
physical examination
hospital
x symptom
outpatient (within 30 minutes reach of hospital with rapid transportation)
v symptom
hospitalize until delivery
v uterine contractions: tocolytic for steroid
immediate
x coitus, admit when vaginal bleeding
dexamethasone
maternal: bleed, fetal: distress
USG 34 weeks
more than 2 cm away from os and engaged
vaginal delivery 37 weeks or after
Caesarean section 37 weeks or after
low-lying placenta (after 28 weeks)
type 4
total placenta previa (totally cover os)
type 3
partial placenta previa (partially cover os)
type 2
marginal placenta previa (margin of os)
type 1
low-lying placenta previa (within 5 cm)