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Placenta praevia: A brief overview


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

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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