Placenta previa and placenta abruptio

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RedheadErin

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At what point during the delivery do you know either of these conditions exists?
 
Well. If that doesn't sound like a homework question, I don't know what does.
 
We won't give you answers. We will help you work through it though.

What is placenta previa?

What is placenta abruptio?
 
RedheadErin said:
At what point during the delivery do you know either of these conditions exists?
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After the doctor at the hospital does an ultrasound.
 
Bleeding is a very good indicator.
Someone with prenatal care will know about one... can you guess? ;)
 
Mariemt said:
Bleeding is a very good indicator.
Someone with prenatal care will know about one... can you guess? ;)
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Someone with prenatal care will know if they have one of those two conditions...

One can be detected early on with good prenatal care... the other is usually a surprise finding.
 
Well yes I know what they are. Previo is when the placenta develops over the cervix. Abruptio is when the placenta tears "abruptly" away from the wall of the uterus. I already found out that abruptio produces sudden severe pain and copious bleeding. So that one would be obvious.

As for previo, not all women have decent pre-natal care and ultrasounds. Sometimes they don't even know they are pregnant. Maybe she is just being obtuse and won't tell ME she has it, for whatever reason. At any rate, if I show up at the door and this woman is in labor, how am I going to know if she has placenta previa, assuming she doesn't tell me?
 
RedheadErin said:
Well yes I know what they are. Previo is when the placenta develops over the cervix. Abruptio is when the placenta tears "abruptly" away from the wall of the uterus. I already found out that abruptio produces sudden severe pain and copious bleeding. So that one would be obvious.

As for previo, not all women have decent pre-natal care and ultrasounds. Sometimes they don't even know they are pregnant. Maybe she is just being obtuse and won't tell ME she has it, for whatever reason. At any rate, if I show up at the door and this woman is in labor, how am I going to know if she has placenta previa, assuming she doesn't tell me?
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Since the placenta develops in a different area which one are you likely to see as she is pushing, the baby or the placenta?
 
I had hoped to find out before she is fully dilated and pushing. Isn't she going to have some bleeding before then?
 
RedheadErin said:
I already found out that abruptio produces sudden severe pain and copious bleeding. So that one would be obvious.
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Many cases are not as "obvious" as you would think. The copious bleeding may be occult so do not let the lack of visible vaginal bleeding dissuade you. You do not want to be behind the 8 ball with a pregnant patient who is in shock and coagulopathic with a fetus in acute distress.
 
RedheadErin said:
I had hoped to find out before she is fully dilated and pushing. Isn't she going to have some bleeding before then?
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Not always. Maybe just a little spotting and if she is in labor than you might attribute that to the actual birthing process. But if she starts to deliver and you see the placenta and not baby, that's when you would know.
 
Pregnancy leading to severe onset bleeding and pain= go to hospital code 3, try to stabilize internal bleeding effects enroute.

Pregnancy resulting in prolonged ineffective labor and vaginal bleeding = go to hospital, support vital signs enroute.

Try THIS one!

http://en.wikipedia.org/wiki/Placenta_accreta
 
Thanks for the help. My finals are coming next week and I am trying to fill in some holes in my knowledge.

In related news, how much oxygen would you give a non-complicated pregnant woman on the way to the hospital?
 
RedheadErin said:
Thanks for the help. My finals are coming next week and I am trying to fill in some holes in my knowledge.

In related news, how much oxygen would you give a non-complicated pregnant woman on the way to the hospital?
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None? If there is nothing wrong and no signs of difficulty in breathing, poor perfusion, or hypoxia... They get nothing
 
My stupid book says to give oxygen, but I cant find anywhere it says how much to give. :blink:
 
RedheadErin said:
My stupid book says to give oxygen, but I cant find anywhere it says how much to give. :blink:
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3piqmm.jpg
 
Ha!:D Thanks for the advice and the laugh!
 
Last edited by a moderator:
Anjel said:
None? If there is nothing wrong and no signs of difficulty in breathing, poor perfusion, or hypoxia... They get nothing
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Well, I would suggest at least 21ish%, lol. :lol:
 
Pregnancy leading to severe onset bleeding and pain= go to hospital code 3, try to stabilize internal bleeding effects enroute.

Pregnancy resulting in prolonged ineffective labor and vaginal bleeding = go to hospital, support vital signs enroute.
Click to expand...

So the placenta previa would result in prolonged ineffective labor?
 
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