Placenta Previa

• What is placenta previa?

• Late pregnancy bleeding

• Painless vaginal bleeding AFTER 20 WEEKS OF GESTATION

• Why does placenta previa occur?

• The placenta attaches to lower part of uterus which causes bleeding

• What is the major complication of placenta previa?

• Hemorrhage

• What is manifestation of placenta previa>

• Painless vaginal bleeding after 20 weeks gestation

• Soft relaxed nontender uterus with normal tone

• What Are risk factors of placenta previa?

• Previous c-section

• Advanced materna; age

• Multiparity

• Multifetal

• Smoking

What is Placental abruption?

• It is premature seperation of the placenta

• After 20 weeks

• What causes Placental abruption?

• Maternal hypertension

• Cocaine

• Blunt trauma

• MVA

• Smoking

• Previous abruption

• Multiples

• hat are the manifestations of Placental abruption?

• Vaginal bleeding

• Abdominal pain

• Uterine tenderness

• Contraction

• What is the treatment of Placental abruption?

• Monitor fetus growth

• Reduce activity

• Reduce as much bleeding as possible

• What is vasa previa?

Where fetal blood vessels run through amniotic membranes and pass over or near cervix leading them vulnerable to rupture during laborWhat are vasa previa manifestations?

• What are vasa previa manifestations?

• Painless vaginal bleeding

• Fetal heart abnormalities

• What are nursing considerations of vasa previa?

• Close monitoring

• Watch for bleeding

• May need early corticosteroids for lung maturation

• Planned c-section

• What is the kleihauer betke test?

• Blood test used to ass fetal  maternal hemorrhage

• What is  kleihauer betke test use for?

• To determine dose of RHO

• How is the kleihauer betke test done?

• Exposing maternal blood smear to acid solution