Placenta praevia: A brief overview

Placenta praevia is associated with a significant risk for obstetric hemorrhage. Vigilance and expert care are essential to minimize adverse outcomes.

1. Placenta PraeviaPlacenta Praevia
A brief overview
Dr. HO OsazuwaOsazuwa

2. Placenta praevia: A Torres at the bridge
Obstetric HemorrhageObstetric Hemorrhage

3. Can we really understand the Can we really understand the
classification ?classification ?
Yes we can!Yes we can!

4. 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.

5. Unlike Messi, Trans-abdominal
scan is no skeleton key.

6. ““Classical presentationClassical presentation – –
painless unprovoked warning painless unprovoked warning
vaginal bleeds in the 3vaginal bleeds in the 3
rdrd

trimester”trimester”

7. 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).

8. Terminate conservative managementTerminate conservative management