A 34 YEARS OLD WOMAN WITH ANTE PARTUM HEMORRHAGE ET CAUSA PLACENTA PRAEVIA TOTALIS AND TRANSVERSE FETAL LIE

Debora Febrina

Abstract


Placenta praevia is placenta with very low implantation, it covers all or half of internal uteri ostium. Placenta praevia number is higher in a woman with high parity whose age more than 30 years old. The incidence is lower in developed countries, less than 1 % and maybe caused by low number of women with high parity.  A woman 34 years old came with vaginal bleeding since 14 hours before coming to hospital, fresh red colored, 5 times changed her vaginal bandage. She had had uterus contraction stronger and more frequent by the time, bloody shows. She also had previous vaginal bleeding, at 7 th and 8 th month of pregnancy. From physical examination, her vital signs were normal. Obstetrical examination: uterus height 32 cm, fetal head in the right of mother, fetal weight prediction 3.255 grams, fetal heartbeat was normal and regular, from ultrasound examination: transverse fetal lie and total placenta paevia, placenta was in posterior, hematology test was normal. This woman was diagnosed with G5P3A1 aterm pregnant, in partum, with ante partum hemorrhage et causa total placenta praevia, live single fetal, transverse fetal lie. Management: observed mother’s vital signs, fetal heartbeat, and uterus contraction, Amphycilin 1 gram per 8 hours, and per abdominal termination preparation. Accurate and fast diagnosis in ante partum hemorrhage case is very important to prevent its complications.

Keywords: transverse fetal lie, total placenta praevia, per abdominal termination

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