Pregnancy Medicine — Flashcards

Flashcard 51: Grade 1 of placenta praevia means _____

Answer: the placenta does not cover the internal cervical os but is low lying

Flashcard 52: Sexual intercourse advice for placenta praevia?\n_____

Answer: Should be avoided (pelvic rest)

Extra: In placenta praevia, sexual intercourse and digital vaginal examinations should be avoided as they can provoke life-threatening antepartum hemorrhage by causing mechanical trauma to the placenta or lower uterine segment.

Flashcard 53: _____ can present with shock out of proportion with visible blood loss Placental praevia can present with shock in proportion with visible blood loss

Answer: Placental abruption

Flashcard 54: Placenta praevia can be incidentally found during the _____

Answer: 20 week abdominal ultrasound

Flashcard 55: Placental praevia can present with _____ in proportion with visible blood loss

Answer: shock

Flashcard 56: Grade 2 of placenta praevia means _____

Answer: the lower edge of the placenta reaches the internal cervical os

Flashcard 57: Placenta praevia incidence is ~_____%

Answer: 0.5

Flashcard 58: What investigation should be avoided with placenta praevia? _____

Answer: Avoid vaginal examination before an US because it can cause haemorrhage

Flashcard 59: What is the management for placenta praevia if they are bleeding? _____

Answer: ABCDE approach to stabilise, haemodynamic support, C-section if unstable or term has reached

Flashcard 60: Grade 4 of placenta praevia means _____

Answer: the placenta lies over the internal cervical os