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According to the socioeconomic demographic in North America, black women are more likely to come from low income areas and are thus more likely to develop placenta praevia. [ 5 ] In Nova Scotia , infants born to pregnant woman who experience placenta praevia have a mortality rate 3–4 times higher than normal pregnancies.
Placenta previa is a condition that occurs when the placenta fully or partially covers the cervix. [13] Placenta previa can be further categorized into complete previa, partial previa, marginal previa, and low-lying placenta, depending on the degree to which the placenta covers the internal cervical os.
Risk factors include low-lying placenta, in vitro fertilization. [1] Vasa praevia occurs in about 0.6 per 1,000 pregnancies. [1] The term "vasa previa" is derived from the Latin; "vasa" means vessels and "previa" comes from "pre" meaning "before" and "via" meaning "way". In other words, vessels lie before the fetus in the birth canal and in the ...
Sacrum posterior (SP)—the buttocks face posteriorly. Shoulder presentations with transverse lie are classified into four types, based on the location of the scapula (shoulder blade). This presentation needs to be delivered by cesarean section. Left scapula-anterior (LSA) Right scapula-anterior (RSA) Left scapula-posterior (LSP)
Sacrum posterior (SP)—the buttocks face posteriorly. Shoulder presentation with transverse lie are classified into four types, based on the location of the scapula (shoulderblade); note: the presentation is significantly different from asynclitic positioning , and in most cases needs to be delivered by cesarean section .
Besides placenta previa and placental abruption, uterine rupture can occur, which is a very serious condition leading to internal or external bleeding. Bleeding from the fetus is rare, but may occur with two conditions called vasa previa and velamentous umbilical cord insertion where the fetal blood vessels lie near the placental insertion site unprotected by Wharton's jelly of the cord. [11]
This can lead to fetal malformations [2] [24] and low birth weight. [ 2 ] [ 6 ] [ 10 ] The umbilical vessels may also be longer compared to normal, [ 2 ] particularly when the site of velamentous cord insertion is in the lower uterine section as the extension of the uterine isthmus as pregnancy advances causes vessel elongation. [ 3 ]
An important risk factor for placenta accreta is placenta previa in the presence of a uterine scar. Placenta previa is an independent risk factor for placenta accreta. Additional reported risk factors for placenta accreta include maternal age and multiparity, other prior uterine surgery, prior uterine curettage, uterine irradiation, endometrial ablation, Asherman syndrome, uterine leiomyomata ...