Conservative management of placenta pre was advocated by _________
Cadwell and Moloy
Priscilla White
Macafee and Johnson
Sher and Page
Conservative management for placenta pre was advocated by Macafee and Johnson. The aim is to continue pregnancy for fetal maturity without compromising maternal health. Prerequisites: Availability of blood transfucion whenever required Facilities for Cesarean section should be available throughout 24 hours. Suitable cases for expectant management for placenta pre: Mother in good health (Hb >/= 10g%, hematocrit >/= 30%) Duration of pregnancy <37 weeks No active vaginal bleeding Fetal well-being is assured (USG) Conduct of expectant treatment: Coicosteroids for fetal lung maturity if <34 week Bed rest Hb, Blood grouping and urine for protein Inspection of vulval pads, fetal surveillance with USG Supplementary hematinics Rh immunoglobin should be given to all Rh-negative (unsensitized) women Other options: Caldwell and Moloy: Classification of Pelvis Sher and Page: Grading of Abruptio placentae Priscilla White: Classification of diabetes in pregnancy. Other named classification/regime in obstetrics Clarke&;s: Classification of hea disease basedd on maternal moality Lytic Cocktail: Treatment of convulsions in eclampsia Ref: DC Dutta&;s Textbook of Obstetrics 8th edition Pgno: 290
General obstetrics