CuraRN

Placenta Previa

Student study notes from paramedic coursework (2023 to 2024), not medical advice. Verify clinical values against current references and your local protocols.

EMS etiologies Setting: OB/GYN

Placenta previa is a condition during pregnancy where the placenta covers the opening of the uterus (cervix), partially or completely. It can lead to complications for both the mother and the baby if not managed properly.

Clinical Presentation

The most common symptom of placenta previa is painless, bright red vaginal bleeding, which usually occurs after 20 weeks of pregnancy. The bleeding may be intermittent or continuous and can range from mild to severe. Other symptoms may include abdominal pain, contractions, and premature labor.

Treatment Modalities

C-section delivery: In most cases of placenta previa, a cesarean delivery is recommended to avoid complications during vaginal delivery. The timing of the delivery will depend on the severity of the condition and the gestational age of the fetus.

If the bleeding is severe or if there are signs of preterm labor, the mother may need to be hospitalized for observation and treatment. And if the fetus is at risk of preterm birth, the mother may be given corticosteroids to help the baby’s lungs develop.