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Placenta Previa

During the early part of pregnancy, the placenta is typically attached at the lower portion of the uterus (low-lying), however as pregnancy progresses and the uterus grows, the placenta usually migrates upward.
In Placenta Previa (PP), the placenta remains attached in the lower portion of the uterus and either touches or obscures (partially or completely) the internal cervical os through which the baby must pass to be born. Sometimes this is due to a condition called placenta accreta, which is the abnormally firm attachment of the placenta to the uterine wall.
PP affects 1 in 200 births. The risk increases to 1-4 % after one previous cesarean delivery and up to 10% after four or more cesarean deliveries.
The focus of care for the initial episode of bleeding is the assessment and stabilization of the situation and the determination of the safety of outpatient versus in-hospital monitoring. If the fetus is preterm (< 37 weeks) and there is no need for immediate delivery (no hemorrhage), then outpatient monitoring will probably be deemed appropriate. Three quarters of women with PP will be delivered by cesarean section.
Get the Facts... With your MediFocus Guide

The Medifocus Guide on Placenta Previa provides answers to the following important questions and medical issues:
  • What are the most common symptoms of placenta previa?
  • Are there any recognized risk factors for developing placenta previa?
  • What kinds of medical tests are used to establish the diagnosis of placenta previa?
  • What is the current standard of care for the treatment of placenta previa?
  • What treatment options are available for the management of placenta previa?
  • Are there any promising new developments or potential breakthroughs in treatment?
  • Who are the most notable medical authorities who specialize in placenta previa?
  • Where are the leading hospitals and centers of research for placenta previa?
  • What are the most important questions to ask my doctor about placenta previa?
What Your Doctor Reads:

This MediFocus Guide contains an extensive listing of citations and abstracts of recent journal articles that have been published about this condition in trustworthy medical journals. This is the same type of information that is available to physicians and other health care professionals. A partial selection of journal articles that are abstracted in this MediFocus Guide includes:
  • Interventions for suspected placenta praevia.
    Cochrane Database of Systematic Reviews [computer file]. 2000
  • Placenta previa, placenta abruptio.
    Clinical Obstetrics & Gynecology. 1998
  • Obstetric history and the risk of placenta previa.
    Acta Obstetricia et Gynecologica Scandinavica. 2000
  • Prenatal diagnosis of placenta previa accreta by transabdominal color Doppler ultrasound.
    Ultrasound in Obstetrics & Gynecology. 2000
  • Maternal serum second trimester AFP and hCG in pregnancies with placenta previa.
    Prenatal Diagnosis. 2000
  • Emergency postpartum hysterectomy in women with placenta previa and prior cesarean section.
    International Journal of Gynaecology & Obstetrics. 2000
  • Previous cesarean section and abortion as risk factors for developing placenta previa.
    Journal of Obstetrics & Gynaecology Research. 1999
  • Placenta previa: a 22-year analysis.
    American Journal of Obstetrics & Gynecology. 1999
  • Placenta previa: preponderance of male sex at birth.
    American Journal of Epidemiology. 1999
  • Neonatal outcomes with placenta previa.
    Obstetrics & Gynecology. 1999
MediFocus Guides... When You Need Trustworthy Medical Information understands that consumers who are facing serious medical issues need access to credible, up-to-date medical information to help them make informed health-care decisions. That's why we've developed the MediFocus Guides...the most advanced and trustworthy patient research guides for over 200 chronic and life-threatening conditions. Each MediFocus Guide includes a detailed overview of the condition including information about diagnosis, treatment options, cutting-edge research, and new developments; excerpts of important journal articles from the current medical literature focusing on standard treatments and treatment options; a directory of leading authors and medical institutions who specialize in the treatment of the condition; and a listing of organizations and support groups where you can obtain additional information about the illness.
MediFocus Guides are the perfect solution for consumers who wish to gain an in-depth understanding of their medical issue and avail themselves of the same type of professional level medical information that is used by physicians and other health-care professionals to help then in the clinical decision making process.
Medifocus: Your Personal Guide to Trustworthy Medical Information Get more data on this topic.
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