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Placenta praevia or placenta previa is when the placenta attaches inside the uterus but in a position near or over the cervical opening. [1] Symptoms include vaginal bleeding in the second half of pregnancy. [1] The bleeding is bright red and tends not to be associated with pain. [1]
Placenta praevia or vasa praevia refers to the placenta or fetal blood vessels, respectively, covering or being located close to the opening of the uterus. More than half of women affected by placenta praevia (51.6)% have bleeding before delivery. [12] Vasa praevia occurs in about 0.6 per 1000 pregnancies. [13]
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]
My bleeding was the result of a clot. I was put on bed rest until it was gone.” 'Vanderpump Rules' Baby Fever! ... “After a few weeks, my doctors concluded that this was a placenta problem ...
Along with placenta previa and uterine rupture it is one of the most common causes of vaginal bleeding in the later part of pregnancy. [6] Placental abruption is the reason for about 15% of infant deaths around the time of birth. [ 2 ]
A history of placenta previa or any abnormal placenta implantation [7] Gestational hypertension or diabetes mellitus [8] Uterine rupture [6] Vacuum assisted delivery [6] Placental abruption [6] Amnioinfusion [6] The method by which labor is induced seemingly plays a role in the risk for amniotic fluid embolism as well. [4]
Bleeding in excess of this norm in a nonpregnant woman constitutes gynecologic hemorrhage. In addition, early pregnancy bleeding has sometimes been included as gynecologic hemorrhage, namely bleeding from a miscarriage or an ectopic pregnancy, while it actually represents obstetrical bleeding. However, from a practical view, early pregnancy ...
Placenta Previa Multiple gestation Placenta accrete Grand multi-parity Active bleeding Prior PPH ≥ 2 medium risk factors Large fibroids Platelets < 70,000 Macrosomia Known coagulopathy BMI >40 Anemia Chorioamnionitis Prolonged 2nd stage labor Oxytocin longer than 24 hrs Magnesium sulfate administration