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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
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