Maternity

Placenta Previa 👶🏽

 

Normally, the placenta implants far from the internal cervical os (part posterior [below] toward the vagina). In placenta previa, however, the placenta attaches near the internal cervical os or completely over it.

There are a few types of placenta previa:

  1. ✖️TOTAL placenta previa: placenta completely covers the internal cervical os
  2. ✖️PARTIAL placenta previa: placenta does not fully cover the internal cervical os
  3. ✖️MARGINAL placenta previa: lowest part of placenta is further than 3cm from the internal cervical os

SIGNS / SYMPTOMS OF PLACENTA PREVIA

  • Placenta previa presents with painless, bright red bleeding from the vagina 🔴

INTERVENTIONS

  • Monitor mother’s vital signs 〰
  • Blood type and screening should be done on the mother 🔴
    • This patient is at risk for hemorrhage and may need immediate blood transfusion if loss of blood is extensive 🔴
  • Ultrasound should be performed
    • Identify location of the placenta 〰
  • DO NOT perform any type of vaginal examination
    • Can cause hemorrhage 🔴
  • Fetal monitoring of activity and heart rate should be checked 👶🏽
    • This allows the nurse to see if baby is stressed
  • Biophysical profile should be performed
  • If a client is less than 36 weeks pregnant, she should be put on bedrest 😴
    • This prevents bleeding and/or early labor
  • Be prepared for a cesarean section at any time 💉
    • If more than 36 weeks gestation, a cesarean section will be scheduled

 

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