Placenta previa

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Background

  1. Placenta that extends near, partially over, or beyond the internal cervical os
    1. Can be total, partial, or marginal
  2. Do NOT perform digital or speculum exam

Risk Factors

  • Uterine scar
  • Advanced maternal age
  • Cigarette smoking
  • Cocaine abuse

Evaluation

  • Painless vaginal bleeding
  • U/S - obtain position of placenta

Differential Diagnosis

Abdominal Pain in Pregnancy

<20 Weeks

>20 Weeks

Management

  • Type + cross
  • Rho status
  • CBC
  • Coags
  • Fetal Heart Monitoring
  • Consult OBGYN and NICU/Neonatal/Peds Immediately

Management

  • Fluids Resus/Blood Products
  • C-section
  • Neonatal/Maternal Resus as needed

References


See Also

Vaginal Bleeding (Main)