Cause Spotting During Pregnancy

General case of placenta previa totalis bleed earlier and more severe than in placenta previa partialis, marginalis or low position. Bleeding occurs because of interference with placental adhesions due to growth and thinning of lower uterine segment in the third trimester of pregnancy.
General condition and anemia is proportional to the amount of blood loss. On abdominal examination found:

1.      The size of the uterus according to gestational age

2.      The uterus is palpable relaxation, soft and elastic in the absence of a palpable pain.

3.      Can be found any such malpresentasi breech, latitude or stir.

4.      Head of floating than gestational age.

5.      With a trained hand, palpation may indicate the location of the placenta.

With inspekulo can: be seen from where the bleeding, whether from inside the uterus, cervical abnormalities, vagina, ruptured varicose veins, trauma etc.. If bleeding from the cervix internum of placenta previa should be suspected.
Diomana embedded placental location and we can confirm with,

Localization of the placenta

a. Ultrasound(95% accuracy of transabdominal ultrasound, tansvaginal to 100%)
b. Magnetic Resonance Imaging (MRI)
c. Radiography
d. Radioactive isotope (iodine 132 or technetium 99)
Advantages of this technique:
- Diagnosis by examination of the vagina with the risk of bleeding arise can be avoided
- Minimize the length of treatment time
- Able to diagnose before the occurrence of bleeding in suspected cases.

Clinical

·         Double set-up examination (PDMO). These audits are not performed unless the patient has been on the operating table with an IV attached and the blood supply as well as all instruments and personnel on full alert and ready to perform an emergency Caesarean section. This action is performed in pregnancies that have been outstanding for more than 37 weeks. But when the mother's bleeding a lot with severe anemia is not dianjurkanMelihat direct examination at the time of Caesarean.

·         Examination of the placenta after vaginal delivery.

Placenta previa can sometimes be confusing as the doctor said would put an end to his college. with other causes of bleeding in late pregnancy. The most common are solutio placenta. Solutio