placenta praevia

Question 1

what is placenta praevia

Answer 1

placenta is attached in the lower portion of the uterus, lower than the presenting part of the fetus

Question 2

associated factor with placenta praevia

Answer 2

multiparity
multiple pregnancy
previous caesarean section

Question 3

clinical features of placenta praevia

Answer 3

shock in proportion to visible loss
no pain
uterus not tender
lie and presentation may be abnormal
fetal heart normal
small bleeds

Question 4

diagnosis of placenta praevia

Answer 4

digital vaginal exam NOT PERFORMED before USS
is often picked up on routine 20 weeks abdo USS
-transvaginal ultrasound

Question 5

management of placenta praevia

Answer 5

rescan at 32 weeks
- again at 36 weeks if still present
give corticosteroids
planned delivery between 36 and 37 weeks
emergency caesarean for premature labour or antenatal bleeding