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Re: Placenta PraeviaFrom: Malcolm Griffiths (Malcolm@MGRIFF22.demon.co.uk)Mon Aug 31 15:48:35 1998
In message <199808310524.PAA12729@blackburn.med.usyd.edu.au>, John Keogh <jkeogh@med.usyd.edu.au> writes >How do members of the list believe placenta praevia prior to delivery is >best managed firstly in women in the third trimester who are >asymptomatic(ie no bleeding at all) but who have placenta praevia picked up >on a scan for something unrelated which is otherwise reassuring about fetal >health. > > secondly in women who have a small bleed but then settle. > >Does the grade of placenta praevia affect your management. > Assymptomatic remain at home until 38 weeks - then if significant degree -> elective LSCS under GA. Small bleeds - once - home after 48 hrs. Rec bleeds stay in until delivered. Degree of PP makes no difference regarding hospitalisation, but affects mode of delivery - to a minor extent. Malcolm Griffiths MD,MRCOG,MFFP,Cert.Mgmnt Obstetrician & Gynaecologist Luton & Dunstable Hosp.,UK. Tel: 01582-497459 (office) Fax: 01582-497376 01525-222849 (home) email: Malcolm@mgriff22.demon.co.uk http://www.obgyn.net/board/griffith.htm "CLINICAL FREEDOM IS THE LAST REFUGE OF THE CLINICALLY INCOMPETENT!" (Someone [1997])
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