Placenta Previa Essay Example for Free

Placenta Previa EssayThe topic I have chosen for my journal is placenta previa. My affected role, 39-year-old M.C came in to the hospital for her fourth ces atomic number 18an delivery. She has three healthy children that are twenty, ten and two years old. She is not a good candidate for vaginal birth be military campaign she has an android or heart shaped pelvis. The birth of her startle child resulted in an emergency caesarian section delivery and she has opted to have planned cesarean deliveries since then. During this pregnancy M. C had preeclampsia, which is an increase in blood pressure after 20 weeks gestation, which is also uncouthly accompanied by protenuria. During this pregnancy M.C also had placenta previa, which is a placental implantation in the lower uterine segment everywhere or near the internal os of the cervix (Buckley Schub, 2013). M.C did not have this complication in her separate 3 pregnancies. It is a very rare occasion occurring in only 2 per 1,000 births or 0.3-0.5% of every last(predicate) pregnancies in the United States.Placenta previa occurs during the second or third trimester. There are three types of placenta previa, which are total, partial and marginal. M.C presented with marginal placenta previa also known as low lying, which occurs when the edge of the placenta reaches the internal cervical os (Buckley Schub, 2013).The cause of placenta previa is not known but it may be from abnormal vascularization due to a foregoing uterine injury (Buckley Schub, 2013). M.C presented with vaginal bleeding during her pregnancy and that is when she found out about her condition. Placenta previa is the intimately common causeof bleeding in the second half of pregnancy (Buckley Schub, 2013). If a patient presents with sudden, painless vaginal bleeding beyond 20 weeks gestation than placenta previa should be suspected. If placenta previa is suspected the use of a transvaginal ultrasound is the most useful diagnostic tool and h as an accuracy of 100% in diagnosing placenta previa.After M.C was diagnosed with placenta previa she was ordered to be on bed rest for the rest of her pregnancy and was monitored very closely by her obstetrician. There are many potential complications that come with placenta previa and a few are premature rupture of membranes, preterm birth, placental abruption, postnatal hemorrhage, anemia, infection disseminated intravascular coagulation, shock, renal failure, thrombophlebitis and maternal or foetal death (Buckley Schub, 2013). According to Buckley Schub, (2013) for women who have had multiple cesarean deliveries the risk for placenta previa can reach 10% and M.C had three previous cesarean sections which could be a think why she developed this condition. M.C was carrying a boy and placenta previa is also more common in pregnancies with male fetuses (Buckley Schub, 2013). luckily M.C was able to carry her baby boy to term but 50% of women with placenta previa have a prete rm delivery.The preaching goals for patients with placenta previa is to monitor the mothers vital signs, vaginal bleeding and watch for physiologically signs of hemorrhage, shock and infection. Closely monitor the fetal heart tones for any type of distress such as bradycardia, tachycardia and late and variable decelerations. Closely monitor post-surgical patients for bleeding, infection and other complications. Assess the patients anxiety level and any knowledge deficits the patient might have regarding placenta previa. Provide the patient is emotional support, education regarding the condition and reassurance that the prognosis is usually good.