Placenta Previa - a Case Study

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  • Topic: Maternal death, Childbirth, Tarlac City
  • Pages : 14 (4475 words )
  • Download(s) : 430
  • Published : March 5, 2013
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I. Introduction………………………………………………………..…1 Objectives………………………………………………………………..……5 II.NursingProcess
A.Assessment1. Personal Data………………………………………………….……6 a)Demographic Data…………………………………………….……..6  b)Environmental Status……………………………………….………..6 c)Lifestyle………………………………………………………………7 2.Family History of health and Illness3. History of Past Illness…………………………………………….….………94.History of Present Illness…………………………………………….……….95.Physical Assessment...........................................................................................96.Diagnostics and laboratory Procedures………………………..…………….187.Anatomy And Physiology……………………………………...…………….198.Pathophysiologyi.Book-based……………………………………………..…………….24ii.Client-based…………………………………………..……………...26B. Planning  

I.Introduction………………………………………………………………………...1Objectives………………………………………………………………………….5II.Nursing ProcessA.Assessment1. Personal Data………………………………………………………….…….6a)Demographic Data…………………………………………….……..6 b)Environmental Status……………………………………….………..6c)Lifestyle………………………………………………………………72.Family History of health and Illness3. History of Past Illness…………………………………………….….………94.History of Present Illness…………………………………………….……….95.Physical Assessment...........................................................................................96.Diagnostics and laboratory Procedures………………………..…………….187.Anatomy And Physiology……………………………………...…………….198.Pathophysiologyi.Book-based……………………………………………..…………….24ii.Client-based…………………………………………..……………...26B. Planning1.Nursing Care Plans………………………………………….……………..28C.Implementation1.Medical Managementi.IVFs,BT,NGT feeding,Nebulization,TPN,Oxygen Therapy etc……36ii.Drugs………………………………………………………………..42iii.Diet…………………………………………………………………46iv.Activity/Exercise…………………………………………………...492.Surgical Management……………………………………………………….513.Nursing Management(SOAPIE)…………………………………………….53D.Evaluation1.Patient’s Daily Program in the hospital……………………………………...602.Discharge Planning…………………………………………………… III.Conclusion…………………………………………………………………………62IV.Recommendation…………………………………………………………………..62V.Bibliography…………………………………………………………………… INTRODUCTION

Placenta previa is a condition in which the placenta is located low in the uterine cavity, partially or completely covering the opening of the cervix. This can cause bleeding and interferewith a normal vaginal delivery. Placenta previa occurs in four degrees: implantation in the lower uterine rather than in the upper portion of the uterus (low-lying placenta); marginal implantation(the placenta approaches that of cervical os); implantation that protrudes a portion of the cervicalos (partial placenta previa and implantation that totally obstructs the cervical os (total placenta previa). The degree to which the placenta covers the internal cervical os is generally estimated in percentages 100%, 75%, 30% and so forth. Increased parity, advanced maternal age, pastcesarean births, post uterine curettage, multiple gestations, and perhaps a male fetus are allassociated with placenta previa. The incidence of placenta previa is approximately 5 per 1,000 pregnancies. It is thoughtto occur whenever the placenta is forced to spread to find an adequate exchange surface. Anincrease in congenital fetal anomalies may occur if the low implantation does not allow optimalfetal nutrition or oxygenation. The incidence of placenta previa in the United States isapproximately 0.5%, or 1 in 200 women. The maternal mortality rate is 0.03%. The retrospective"Maternal Mortality Study" (1979-1986) showed that in 44 maternal deaths, placenta previa waslisted as an underlying obstetric condition contributing to death. This resulted in a case fatalityrate of .03%. The incidence of maternal death was 1 in 3,300 cases of placenta previa. There arestill no current trends about the medications and other diagnostic procedures in preventing andcuring placenta previa. Ultrasonography is still the basis of diagnosis but for patient with cases of abdominal...
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