Labor and Delivery Journal
The Univeristy of Akron
Mariah Mostardi, College of Nursing, The University of Akron. This paper is in fulfillment for the course: Nursing of the Childbearing Family 8200: 350. Due September 17, 2013. Instructor Pamela Edenfield, MSN, RNC-OB, CNS, IBCLC, RLC
The topic I have chosen for my journal is placenta previa. My patient, 39-year-old M.C came in to the hospital for her fourth cesarean delivery. She has three healthy children that are twenty, ten and two years old. She is not a good candidate for vaginal birth because she has an android or heart shaped pelvis. The birth of her first child resulted in an emergency cesarean delivery and she has opted to have planned cesarean deliveries since then. During this pregnancy M.C had preeclampsia, which is an increase in blood pressure after 20 weeks gestation, which is also commonly accompanied by protenuria. During this pregnancy M.C also had placenta previa, which is a placental implantation in the lower uterine segment over or near the internal os of the cervix (Buckley & Schub, 2013). M.C did not have this complication in her other 3 pregnancies. It is a very rare occasion occurring in only 2 per 1,000 births or 0.3-0.5% of all pregnancies in the United States.
Placenta previa occurs during the second or third trimester. There are three types of placenta previa, which are total, partial and marginal. M.C presented with marginal placenta previa also known as low lying, which occurs when the edge of the placenta reaches the internal cervical os (Buckley & Schub, 2013).
The cause of placenta previa is not known but it may be from abnormal vascularization due to a prior uterine injury (Buckley & Schub, 2013). M.C presented with vaginal bleeding during her pregnancy and that is when she found out about her condition. Placenta previa is the most common cause of bleeding in the second half of pregnancy (Buckley & Schub, 2013). If a...
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