Placenta Praevia Flashcards
1
Q
placenta praevia
A
abnormal position of placenta, can lie of the cervical OS
2
Q
risk factors
A
multiple pregnancy
previous pregnancies
IVF
3
Q
signs
A
fresh, vaginal bleeding
painless
can go into shock
4
Q
investigations
A
trans-vaginal USS
5
Q
management
A
bleeding with unknown placenta praaevia:
ABCDE
trans-vaginal USS
CS
bleeding with known placenta praaevia:
ABCDE
<34 weeks - consider steroids
labour or term - CS
known placenta praaevia with no bleeding:
regular monitoring
6
Q
how is it graded
A
I - doesn’t reach the OS
II - preached the OS
III - partially covers the OS
IV - covers the OS
7
Q
when would you do the last USS
A
36/37 weeks , if grade 3//4 then do CS
grade 1 - vaginal delivery
