Review Note
Last Update: 05/29/2024 09:53 PM
Current Deck: SLS Cards::5. Prenatal care
New Card (Unpublished)Currently Published Content
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Commit #103854
What is the management for placenta previa?
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Commit #103854Avoid cervical maneuvers after 2nd trimester w/o U/S
Goal is to keep pregnancy intruterine until risk in > risk out
Regular NST and U/S
If active bleeding < 34 weeks:
- Resus (O- blood transfusion if neccessary, IV hydration, O2)
- Bed rest
- Continuous FHR monitoring
- CBC, blood type and crossmatch, coags if suspected
- Betamethasone --> promote fetal lung maturity
If massive hemorrhage:
- Immediate c-section
- Blood transfusion
- Surgical intervention e.g. uterine artery ligation, hysterectomy