课件：前置胎盘英文课件.pptx

Placetal Previa;Case ;;;;What are the most common causes of Antepartum Hemorrhage ?;COMMON CAUSES; Placental Previa; Understand that placenta previa and placental abruption are major causes of antepartum hemorrhage Know the painless vaginal bleeding is consistent with placenta previa Understand that the ultrasound examination is a good method for assessing placental location;Defined as the inferior edge of placenta load at the lower uterine segment, or even reach the internal cervical os after 28 weeks gestation. Incidence rate: Internal：0.24%~1.57%； International：0.5%~0.9%。;“ the placenta overlying the internal os of the cervix”;Classification ;Classification;What are the risk factors for placental Previa?;ETIOLOGY;Manifestation It characteristically presents with unprovoked and repeated painless vaginal bleeding. ;Manifestation;; symptom;Complication of mother  and fetus;How to diagnose the placental Previa?;Patient History – Placenta Previa;Physical Exam – Placenta Previa;Auxiliary examination;;Laboratory – Placenta Previa;Differentiation diagnosis;;Management ;Management ;Termination of pregnancy CS total placenta previa (36th week), Partial placenta previa (37th week) and heavy bleeding with shock Preventing postpartum hemorrhage: pitocin and PG Hysterectomy: Placenta accreta or uncontroled bleeding;;Vaginal delivery Marginal placenta previa Vaginal bleeding is limited; Admit to hospital NO VAGINAL EXAMINATION IV access Placental localization Cesarean delivery is necessary in practically all women with placental previa ;Placenta PreviaManagement;Management of placenta previa?;;Each of the following is a risk factor of placenta previa except: A ) Prior cesarean section; B ) Hypertension; C ) Multiple gestation; D ) Prior uterine curettage;Each of the following is a typical feature of placenta previa except: A ) Painless bleeding; B ) Commonly associated with coagulopathy; C