Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

Placenta praevia: A brief overview

22,711 views

Published on

Placenta praevia is associated with a significant risk for obstetric hemorrhage. Vigilance and expert care are essential to minimize adverse outcomes.

  • Be the first to comment

Placenta praevia: A brief overview

  1. 1. Placenta Praevia A brief overview Dr. HO Osazuwa
  2. 2. Placenta praevia: A Torres at the bridge <ul><li>Obstetric Hemorrhage </li></ul>
  3. 3. Can we really understand the classification ? <ul><li>Yes we can! </li></ul>
  4. 4. Are traditional risk factors still relevant? <ul><li>Age and Multi-parity </li></ul><ul><li>Previous Caesarean section - 10% </li></ul><ul><li>Uterine scaring – Repeat abortions; Spontaneous or induced, Asherman’s syndrome. </li></ul><ul><li>Large placentae – Multiple gestation, Diabetic pregnancy & Rhesus iso-immunization. </li></ul>
  5. 5. Unlike Messi, Trans-abdominal scan is no skeleton key.
  6. 6. “ Classical presentation – painless unprovoked warning vaginal bleeds in the 3 rd trimester”
  7. 7. Principles of Management (McAfee regimen) Premise is conservation management until term Symptomatic Placenta praevia & some cases of Asymptomatic Major placenta praevia (Type III & IV).
  8. 8. Terminate conservative management

×