How to treat bleeding placenta previa

The treatment of bleeding placenta previa should be based on the actual choice of management measures, such as expectant therapy, termination of pregnancy. 1. Expectant therapy: (1) General treatment: reduce activities during bleeding and prohibit anal examination. (2) Correct anemia: aim at hemoglobin ≥110g/L or more, increase maternal reserve to maintain normal blood volume, and transfuse blood if necessary. (3) Hemostasis: Contraction inhibitors may be given as appropriate to prevent further bleeding. (4) Glucocorticoids: risk of preterm labor before 35 weeks of gestation should promote lung maturation. 2. Termination of pregnancy: (1) Cesarean section: it is the safest and most effective way to deal with placenta praevia, and blood volume should be monitored at the same time. (2) Vaginal delivery: only for borderline placenta praevia, in the condition of the institution, under the condition of adequate blood supply, closely monitor the feasibility of vaginal trial of labor. When bleeding from placenta praevia occurs, it is necessary to go to the hospital in time, and choose the appropriate treatment under the guidance of professional doctors, in order to maximize the safety of the mother and the fetus.