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