is the development of placenta in the loweruterine segment, partially or completely covering the internalcervical os. The cause is unknown, but a possible theory states thatthe embryo will implant in the lower uterine segment if the deciduasin the uterine fundus is not favorable. Complications are immediatehemorrhage, shock, and maternal death; fetal mortality; and postpartum hemorrhage.Signs and Symptoms:•Vaginal bleeding•ContractionsPatient X is a 37- year old Filipina female who is living with herfamily at Look, Salay, Misamis Oriental. She is from Quitoan,Bacolod. Her religion is Iglesia ni Cristo. She is a high schoolgraduate, non-smoker, non –alcoholic, and no allergies reported.Patient has placenta previa with bleeding during her delivery.Patient X was admitted last Novemer 29, 2009 at NNMC –DRbecause of abnormal separation of the placenta. With that, patient Xundergone cesarean section. Patient X is multigravida. Shedelivered a post term operative baby boy 43 weeks of gestation 3.4kg with an APGAR score of 3,6,7 vertex, placenta previa, accretawith anemia. Patient X has two full term baby weighing 5 lbs and 6lbs. Patient is referred to NNMC from Balingasag, Provincial Hospital.
The patient vital signs are one of the most important data thatshould be given a direct attention because it will serve as basis indetermining any risk factors towards the patient. The increase anddecreased of the vital sign of the patient must be monitored in orderto determined whether the patient is at risk or not. The patient had the following vital signs upon admission: BP- 120/90mmHg, PR- 80 bpm ; RR-22 cpm; and temp- 36°c .