placenta praevia: a brief overview
TRANSCRIPT
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Placenta PraeviaPlacenta Praevia A brief overview
Dr. HO OsazuwaOsazuwa
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Placenta praevia: A Torres at the bridge
Obstetric HemorrhageObstetric Hemorrhage
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Can we really understand the Can we really understand the classification ?classification ?
Yes we can!Yes we can!
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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.
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Unlike Messi, Trans-abdominal scan is no skeleton key.
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““Classical presentationClassical presentation – – painless unprovoked warning painless unprovoked warning
vaginal bleeds in the 3vaginal bleeds in the 3rdrd trimester”trimester”
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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).
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Terminate conservative managementTerminate conservative management
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