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