Cmd placenta previa

• All pregnant women with vaginal bleeding in the 2nd and 3rd
trimesters should be suspected of having placenta previa. The most
common chief complaint is bright red, painless bleeding. Bleeding can
occur after coitus, vaginal examination, during activity, or without a
specific cause. Occasionally, placenta previa may also be
asymptomatic
Diagnosis
• ESTABLISHED BASED ON CLINICAL SYMPTOMS
• VAGINAL Bleeding PREGNANCY ≥ 20 WEEKS
• WITHOUT CAUSE (CAUSE LESS)
• NO PAIN (PAINLESS)
• RECURRENT Bleeding
• The history also needs to ask about the patient's possible risk factors,
for example history of abortion, history of sectio caesarea, maternal
age, and history of smoking during pregnancy. The doctor also needs
to confirm the mother's gestational age, which can be confirmed by
an ultrasound examination (USG). Gestational age and severity of
complaints can help in determining management
physical examination
• The physical examination that needs to be carried out to help
diagnose placenta previa includes general condition and vital signs,
external genitalia inspection, Leopold examination, and speculo
examination.
supporting investigation
TRANS ABDOMINAL ULTRA SOUND
TRANSVAGINAL USG
Reference
• Batra, Sirait. Bahan kuliah Perdarahan Antepartum. Fak Kedokt Univ Kriten Indones [Internet]. 2021;1–41.
Available from: Repository.uki.ac.id
• Londok THM, Lengkong RA, Suparman E. Karakteristik perdarahan antepartum dan perdarahan postpartum.
Jurnal e-Biomedik, Volume 1, Nomor 1; Maret 2013.
• Creasy RK, Resnik R, Iams J, Lockwood C, Moore T, Greene M. placenta previa, placenta accreta, abruptio
placentae and vasa previa. Creasy and Resnik’s Maternal Fetal Medicine : Principles and Practice. Ed 7th .
Saunders : Philadelphia, PA ; 2014. 732-742