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Treatment of placenta previa is designed to assess, control, and restore blood loss; to deliver a viable infant; and to prevent coagulation disorders. Immediate therapy includes starting an I.V. line using a large-bore catheter; drawing blood for hemoglobin levels and hematocrit as well as type and crossmatching; initiating external electronic fetal monitoring; monitoring maternal blood pressure, pulse rate, and respirations; and assessing the amount of vaginal bleeding.
If the fetus is premature, following determination of the degree of placenta previa and necessary fluid and blood replacement, treatment consists of careful observation to allow the fetus more time to mature. If clinical evaluation confirms complete placenta previa, the patient may be hospitalized because of the increased risk of hemorrhage. As soon as the fetus is sufficiently mature, or in case of intervening severe hemorrhage, immediate delivery by cesarean birth may be necessary. Vaginal delivery is considered only when the bleeding is minimal and the placenta previa is marginal, or when the labor is rapid. Because of the possibility of fetal blood loss through the placenta, a pediatric team should be on hand during such delivery to immediately assess and treat neonatal shock, blood loss, and hypoxia.
Complications of placenta previa necessitate appropriate and immediate intervention.
Source: Professional Guide to Diseases (Eighth Edition), 2005
Treatment of placenta previa is designed to assess, control, and restore blood loss; to deliver a viable infant; and to prevent coagulation disorders. Immediate therapy includes starting an I.V. line using a large-bore catheter; drawing blood for a hemoglobin level and hematocrit as well as typing and crossmatching; initiating external electronic fetal monitoring; monitoring maternal blood pressure, pulse rate, and respirations; and assessing the amount of vaginal bleeding.
If the fetus is premature — after the degree of placenta previa and necessary fluid and blood replacement have been determined — treatment consists of careful observation, which allows the fetus more time to mature. If clinical evaluation confirms total placenta previa, the patient will likely be hospitalized because of the increased risk of hemorrhage. Immediate delivery by cesarean section may be necessary when the fetus is sufficiently mature or sooner if the patient experiences severe hemorrhage. Vaginal delivery is considered only when bleeding is minimal and the placenta previa is marginal or when labor is rapid. Because of the possibility of fetal blood loss through the placenta, a pediatric team should be on hand during the delivery to immediately assess and treat neonatal shock, blood loss, and hypoxia.
Complications of placenta previa necessitate appropriate and immediate intervention.
Source: Handbook of Diseases, 2003
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