Clinical Management of Antepartum Hemorrhage at Nkinga Refferal Hospital
Material type:
TextPublisher number: Wurzburg Road 35, BMC Premises, Post Code: 33102: P. O Box 1464, Mwanza – Tanzania:Phone: +255 28 298 3384: Fax: +255 28 298 3386: Email: vc@bugando.ac.tz : www.bugando.ac.tzLanguage: Kiswahili Publication details: Mwanza, Tanzania: Mwanza, Tanzania: Catholic University of Health and Allied Sciences [CUHAS – Bugando] : ©2016Description: 33 Pages; Includes ReferencesSubject(s): Summary: Introduction:
Background: Antepartum haemorrhage definition: it is defined as bleeding from or into genital tract after the 28th week of pregnancy but before the birth of the baby (the first and second of labor are thus included). The 28th week is taken arbitrarily as the lower limit of fetal viability. The incidence is about 3% amongst hospital deliveries.
Placenta previa: When the placenta is implanted partially or completely over the lower uterine segment it is called placenta praevia.
Incidence: The incidence is 0.5% among hospital deliveries and 80% in multiparous it is increased beyond the age of 35 and multiple pregnancy.
Aetiology: The following theories are postulated; dropping down theory-due to poor decidual reaction in the upper uterine segment fertilized ovum drops down & get implanted in the lower segment, the persistence of chorionic activity in the decidua capsular is, defective decidua results in spreading of the chorionic villi and big surface area of the placenta as in twins
Predisposing factors: Smoking, multiparity, cocaine use, erythroblastosis, nonwhite ethnicity, infertility treatment, recurrent abortions, prior uterine surgery, advancing age (>35 years), low socioeconomic status, short interpregnancy interval, and multiple pregnancy (larger surface area of the placenta are predisposing factors.
| Item type | Current library | Collection | Status | Barcode | |
|---|---|---|---|---|---|
| UNDERGRADUATE DISSERTATIONS | MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | NFIC | 2 | UD0010 |
Introduction:
Background: Antepartum haemorrhage definition: it is defined as bleeding from or into genital tract after the 28th week of pregnancy but before the birth of the baby (the first and second of labor are thus included). The 28th week is taken arbitrarily as the lower limit of fetal viability. The incidence is about 3% amongst hospital deliveries.
Placenta previa: When the placenta is implanted partially or completely over the lower uterine segment it is called placenta praevia.
Incidence: The incidence is 0.5% among hospital deliveries and 80% in multiparous it is increased beyond the age of 35 and multiple pregnancy.
Aetiology: The following theories are postulated; dropping down theory-due to poor decidual reaction in the upper uterine segment fertilized ovum drops down & get implanted in the lower segment, the persistence of chorionic activity in the decidua capsular is, defective decidua results in spreading of the chorionic villi and big surface area of the placenta as in twins
Predisposing factors: Smoking, multiparity, cocaine use, erythroblastosis, nonwhite ethnicity, infertility treatment, recurrent abortions, prior uterine surgery, advancing age (>35 years), low socioeconomic status, short interpregnancy interval, and multiple pregnancy (larger surface area of the placenta are predisposing factors.
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