Placenta Previa
Definition: occurs when a baby's placenta partially or totally covers the mother's cervix — the
outlet for the uterus
Risk Factors:
Have had a baby
Have scars on the uterus, such as from previous surgery, including cesarean deliveries, uterine
fibroid removal, and dilation and curettage
Had placenta previa with a previous pregnancy
Are carrying more than one fetus
Are age 35 or older
Are of a race other than white
Smoke
Use cocaine
Causes:
The exact cause of placenta previa is unknown.
Signs and Symptoms:
Bright red vaginal bleeding without pain during the second half of pregnancy
Diagnostic Test/Examination:
Placenta previa is diagnosed through ultrasound, either during a routine prenatal appointment or
after an episode of vaginal bleeding
Management:
Prevention:
Abruptio Placenta
Definition: occurs when the placenta partly or completely separates from the inner wall of the uterus
before delivery.
Risk Factors:
Placental abruption in a previous pregnancy that wasn't caused by abdominal trauma
Chronic high blood pressure (hypertension)
Hypertension-related problems during pregnancy, including preeclampsia, HELLP syndrome or
eclampsia
A fall or other type of blow to the abdomen
Smoking
Cocaine use during pregnancy
Early rupture of membranes, which causes leaking amniotic fluid before the end of pregnancy
Infection inside of the uterus during pregnancy (chorioamnionitis)
Being older, especially older than 40
Causes:
The cause of placental abruption is often unknown. Possible causes include trauma or injury to
the abdomen
Signs and Symptoms:
Vaginal bleeding, although there might not be any
Abdominal pain
Back pain
Uterine tenderness or rigidity
Uterine contractions, often coming one right after another
Diagnostic Test/Examination:
A physical exam is done to check for uterine tenderness or rigidity.
To help identify possible sources of vaginal bleeding, the provider will likely recommend blood
and urine tests and ultrasound.
Management:
Prevention: