A Placenta Praevia Case

Kai Tiaki : the journal of the nurses of New Zealand, Volume XV, Issue 3, 1 July 1926, Page 123

A Placenta Praevia Case

Mrs. C , admitted 11.50 from R , 30 miles out, by train. Confinement due. Past history, normal pregnancy, quick labour. This is the tenth pregnancy. Age 31 years. At fifth month patient had small haemorrhage; after this her general health was not good, always felt tired, general appearance was pale, thin and worn. On evening of admission had small haemorrhage, which gradually increased; 12.40 Vag. Examination placenta could be distinctly felt. Dil. normal multip. Pulse and temperature normal. Patient not m labour. Haemorrhage ceased 5 a.m.. no sign of haemorrhage during day; recommenced 4 a.m. following day, less profuse. Vag. packed by doctor; tight pad and binder applied; no pain felt; haemorrhage still visible 10 a.m. Condition of patient not good. T 97, P 120. Packing reinforced, labour induced. Pains commenced 11.30 a.m.

General anaesthetic given, 1.15 p.m., podalic version performed, foot brought down. Male child delivered 2.50 p.m.; m state of asphyia pallida.; treatment given to infant, although we did not think he had a hope; however, responded well, and was soon all right, weight 6 lbs. Placenta followed 5 minutes after birth of child battledore; undoubtedly the marginal insertion of cord was the means of saving the child. Patient was very exhausted, saline and treatment for shock required. T. 97, P. 140. Condition gradually improved, 10 p.m. T. 97.8, P. 80. Puerperium — quite normal. Child feeble but fairly healthy; fed on humanised milk. Mother very bright; excellent patient. Both were discharged on 17th day. Condition satisfactory.