Placenta Previa.

Clin Obstet Gynecol

Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center.

Published: December 2024

AI Article Synopsis

  • Placenta previa is a significant cause of bleeding during pregnancy and used to be a major cause of maternal deaths, but advancements in care have improved outcomes.
  • It is usually detected during routine ultrasounds in the second trimester, and most cases resolve before the due date.
  • Key risk factors include previous cesarean deliveries, older age, and smoking, and if the condition persists late in pregnancy, a cesarean delivery is advised.

Article Abstract

Placenta previa is an important and potentially life-threatening cause of bleeding. Historically, it was a major contributor to maternal mortality until advancements in obstetric care, including prenatal ultrasound, cesarean delivery, and transfusion medicine, drastically improved outcomes. Today, placenta previa is typically identified during routine second-trimester ultrasound, with the overwhelming majority of cases resolving before term. Key risk factors include prior cesarean delivery, advanced maternal age, and smoking. When placenta previa is diagnosed, it is essential to assess for associated conditions like placenta accreta and vasa previa. A planned cesarean delivery is recommended in cases that persist into the late third trimester.

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Source
http://dx.doi.org/10.1097/GRF.0000000000000911DOI Listing

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