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Best Practice

Placenta praevia – more than just a “case”

2 Feb, 17 | by BMJ Clinical Evidence

Like many things in Obstetrics, placenta praevia is unpredictable. In the past women who bled were often admitted from 34 weeks but now the care is often more individualised with more women staying at home. Women are told to have safety precautions in place, and that they must be able to attend hospital quickly in the event of a bleed. However, there are those who have recurrent bleeds and, ultimately, are advised to stay in hospital until delivery.

We don’t often appreciate the emotional toll on women who have the constant anxiety of a potential bleed hovering over them. This unpredictable threat can be a great source of stress due to a very real risk of obstetric haemorrhage and preterm birth. more…

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