张华-ObstetricalHemorrhage.docVIP

Obstetrical Hemorrhage Antepartum/Intrapartum/Postpartum Bleeding Placenta previa Placenta abruption Vasa previa Ectopic pregnancy Hydatidiform mole Abortion Cervical or vaginal neoplasm, cervicitis Genital tract trauma Placenta Previa definition: the placenta is located over or very near the internal cervical os. ( after 28 wks, extends below the presenting part of the fetus) Incidence: 0.5% or 1:250 births Types of Previa Total or completely : Partial: Marginal: Low-lying: implanted over the lower uterine segment, the edge actually does not reach the os, but is in close proximity