Placental and Umbilical cord conditions: 3 DONE

Question 1

Placenta previa?

Placenta does what?
Characterized by?
Risk factors?

KNOW THIS!!!!

Answer 1

Placenta covers cervix and results in bleeding

Characterized by painless, bright red vaginal bleeding

Risk factors: Previous c section or uterine surgery, advanced maternal age, tobacco use, multiple gestation, multiparity

Question 2

Vasa previa

What is it?
What if water breaks?

Answer 2

Baby’s blood vessels run across or very close to the opening of the cervix.

(if patients water breaks, vessels rupture, very significant risk of fetal loss!!!)

Question 3

Placenta accreta?
Placenta increta?
Placenta percreta?

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Answer 3

Placenta accreta: chorionic villi invade
beyond uterine lining deeper into the uterus

Placenta increta: chorionic villi invade into the myometrium

Placenta percreta: chorionic villi go past the myometrium, can attach to other organs such as bowel or bladder

Question 4

Placental abruption

What happens?
how do you tell?

KNOW THIS!!!!

Answer 4

Placenta separates from uterine lining prior to delivery of fetus

-DARK RED PAINFUL BLEEDING
-STRONG CONTRACTIONS
-Non-reassuring fetal heart rate pattern