Of pregnant women with placenta previa nursing care of patients.docVIP

 PAGE \* MERGEFORMAT 8 Of pregnant women with placenta previa nursing care of patients Normal placenta attached to the body of the uterus, pregnancy after 28 weeks if the lower uterine segment placenta attached, even to cover the cervix or inside the mouth, before the fetus is lower than the exposed parts, called placenta previa. Trimester placenta previa is serious complication of late pregnancy, the most common cause of bleeding, more common in the maternal or maternal. 1 Clinical data 1.1 General information collected in our hospital in December 2007 ~ December 2009 a total of 50 cases of patients with placenta previa, with an average age of 28 years, an average of 27 weeks gestational age. Of which 14 cases by mothers, accounting for 32%, 36 cases of primipara, accounting for 68%. has a history of induced abortion in 27 cases, of which more than 2 times of induced abortion and 10 cases. the type of placenta previa: 15 cases of central part of the 25 cases, marginal in 10 cases. 1.2 The cause is not yet clear, older mothers, the mothers, and more maternal, smoking or drug use of women as high risk. The cause may be related to the following factors: uterine body cavity lesions or injury, such as puerperal infection, productive, factors such as caesarean section or curettage caused many endometritis or endometrial injury, too large placenta, such as multiple pregnancy. 1.3 B-mode ultrasound examination laboratory examinations, according to the lower edge of the placenta and the cervix to determine the relationship between population types of placenta previa. Placental positioning accuracy rate of 95% or more, and repeat the examination, are now largely been replaced by other tests. 1.4 The principles of treatment of treatment of placenta previa is inhibited contractions, bleeding, to correct anemia and prevent infection. According to pregnant women generally, the amount of vaginal bleeding, with or without shock, fetal