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    2 PLACENTA PREVIA Case Presentation

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    Aiswarya Thomas
    1) A 29-year-old woman, who is 36 weeks and 4 days pregnant, presented with vaginal bleeding. 2) She has had one previous vaginal delivery and her current pregnancy has been otherwise normal. 3) On examination, she was found to have a singleton pregnancy in cephalic presentation with normal fetal growth and heart rate. 4) She is diagnosed with antepartum hemorrhage likely due to placenta previa.

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    2 PLACENTA PREVIA Case Presentation

    Uploaded by

    Aiswarya Thomas
    42 views19 pages
    1) A 29-year-old woman, who is 36 weeks and 4 days pregnant, presented with vaginal bleeding. 2) She has had one previous vaginal delivery and her current pregnancy has been otherwise normal. 3) On examination, she was found to have a singleton pregnancy in cephalic presentation with normal fetal growth and heart rate. 4) She is diagnosed with antepartum hemorrhage likely due to placenta previa.

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    1) A 29-year-old woman, who is 36 weeks and 4 days pregnant, presented with vaginal bleeding. 2) She has had one previous vaginal delivery and her current pregnancy has been otherwise normal. 3) On examination, she was found to have a singleton pregnancy in cephalic presentation with normal fetal growth and heart rate. 4) She is diagnosed with antepartum hemorrhage likely due to placenta previa.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    42 views19 pages

    2 PLACENTA PREVIA Case Presentation

    Uploaded by

    Aiswarya Thomas
    1) A 29-year-old woman, who is 36 weeks and 4 days pregnant, presented with vaginal bleeding. 2) She has had one previous vaginal delivery and her current pregnancy has been otherwise normal. 3) On examination, she was found to have a singleton pregnancy in cephalic presentation with normal fetal growth and heart rate. 4) She is diagnosed with antepartum hemorrhage likely due to placenta previa.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 19

    PLACENTA PREVIA

    Mrs. M
    29 years
    Housewife , graduate.
    Hailing from Thrissur
    Married to Mr.P, who is a manual labourer.
    Belonging to lower middle class family by
    Modified Kuppuswamy .
    G2P1L1
    LMP:DEC 10
    EDC:SEP 17
    Gestational age : 36 weeks 4days
    Presenting complaints
    Admitted with complaints of bleeding per
    vaginum –one episode.
    History of present illness
    She had an acute onset of bleeding per vaginum which she
    noticed when woke up in the morning.
    single episode of bleeding, soakage of one sanitary pad , bright
    coloured blood.
    No history of associated abdominal pain, decreased Fetal
    movements.
    No history of leaking per vaginum, trauma to abdomen, sexual
    intercourse
    No history of palpitations, giddiness
    HISTORY OF PRESENT PREGNANCY
    First trimester
    Detected to be pregnant by urine pregnancy test done 1 week
    after missed periods.
    Folic acid supplementation started once pregnancy detected .
    Baseline investigations were done and was said to be normal.
    Dating scan was done and said to be normal.
    Inj. Td first dose taken at 10weeks.
    History of one episode of bleeding per vaginum at 10
    weeks of gestation, was managed conservatively.
    NT scan and combined screening were done was said to
    be normal.
    No history of excessive vomiting, fever with rash,
    radiation exposure, UTI.
    Second trimester
    Iron and calcium tablets were started by 14 weeks of
    gestation.
    Inj.Td second dose taken at 14weeks gestation.
    Quickening felt by 18 weeks of gestation.
    Anomaly scan was done and placenta was said to be
    covering the os.
    75 g OGTT was done at 26 weeks and was normal.
    BP checkups done at every visit and was normal.
    No history of bleeding or leaking PV.
    Third trimester
    Continued to appreciate good Fetal movements.
    Iron and calcium supplements continued. h/o similar episode
    of bleeding at 7th month of gestation which was managed
    conservatively.
    USG done at 32weeks also showed placenta covering the os.
    BP recordings were normal in every visit.
    Now admitted with an acute onset of painless vaginal
    bleeding.
    Menstrual history
    Regular cycles in 28-30 days with bleeding for 5-6 days.
    No history of heavy menstrual bleeding.

    Marital history
    Married at the age of 23 years.
    Non consanguineous marriage.
    No history of contraceptive use.
    Past obstetric history
    First pregnancy
    Term vaginal delivery, with spontaneous onset of labour.
    Female baby, 2.9kg, now 4years
    No history of antepartum, intrapartum and postpartum
    complications.
    She was discharged on PND 3.
    • General examination
    • Conscious, oriented.
    • Moderately built and nourished.
    • Height: 161cm
    • Pre pregnancy weight : 52kg.
    • Present weight : 64kg
    • Weight gain : 12kg
    • BMI: 20.3kg/ m2
    No pallor, Icterus.
    No pedal edema.
    No lymphadenopathy.
    PR: 98/min, regular rhythm, normal volume and character.
    BP: 110/70mmHg in right upper arm, in left lateral position.
    RR: 18/min.
    Respiratory system: Normal vesicular breath sounds bilaterally,
    no added sounds.
    CVS: S1 &S2 heard normal, no murmurs.
    Obstetric examination
    Inspection
    Abdomen distended longitudinally.
    Linea Nigra and striae gravidarum present.
    Umbilicus central and everted, no scars dilated veins, hernial
    orifices appear normal.
    • Palpation
    • Fundal height corresponds to 36 weeks, relaxed, non tense ,
    non tender.
    • SFH-35cm
    • Abdominal circumference: 90cm.
    • Fundal grip: suggestive of breech.
    • Umbilical grip: spine felt on maternal left side.
    • Pelvic grip: suggestive of head.
    Clinically adequate liquor.
    EFW: 2.8 kg clinically.
    Auscultation
    FHR-140 bpm, regular heard at left spinoumbilical line.
    Per speculum : cervix long os closed, no active bleeding seen.
    • SUMMARY
    • 29 year old second gravida with previous one vaginal
    delivery, with regular cycles at 36 weeks 4days gestation,
    presented with vaginal bleeding, normal general and
    systemic examination, with a singleton pregnancy in cephalic
    presentation, clinically adequate growth and liquor with EFW
    of 2.8 kg and good FHR, with antepartum haemorrhage
    probably placenta previa.
    DIAGNOSIS
    29 year old G2P1L1 at 36 weeks 4 days gestation with
    antepartum haemorrhage probably placenta previa.
    Thank you

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