Mc Afee Regime
Conservative management of placenta praevia
(MCafee's regime)
- it's usually done if the fetus is preterm, patient usually has to be warded at 32 week until 38 weeks/delivery.
- if bleeding is not severe/spotting, advice for bedrest along with strict pad chart monitoring.
- monitor vital sign.
- ultrasound monitoring for placenta localization is done every 2 weeks to look for placenta migration, possible prior to 34 weeks since the lower segment formation is in the process of completion.
- fetal monitoring by ctg and biophysical profiling to ensure fetal well being.
- ask the mother to keep daily fetal kick chart.
- 2 doses of dexamethasone, 12mg administered IM 12 hours apart to enhance lung maturity and prevent interventricular hemorrhage in preterm babies.
-availability of 2 unit gsh
availability of c-sec
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DeleteThat's a nice piece there but I would like to know aside the fact that the woman is preterm and the bleeding isn't severe done have other criteria to the use of this regimen.
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