PRETERM MULTIGRAVIDA WITH A LATERAL PLACENTA PREVIA AND CHRONIC HBV : CASE STUDY

Abstract

Pregnancy is a physiological phenomenon, but this phase is a critical period that can lead to complications and high-risk conditions. Placenta previa is one of the most common causes of antepartum hemorrhage, we here report such a case with accompanying complications and preparation for the correct treatment management. This case study was carried out through anamnesis, physical examination and laboratory assessment. The instrument in this study was used screening sheet for pregnant women. The results of the study showed that a patient aged 35 years with gravida 6, para 4, abortion 1, 34-35 weeks gestation, 2 times history of caesarean section (CS), experienced painless spotting bleeding, Hb: 10.4gr%, and HbsAg: positive, breech presentation, with a lateral placenta previa. The management that has been carried out is interprofessional collaboration for referrals to advanced health facilities for monitoring of placenta previa, planning for delivery, corticosteroid therapy for fetal lung maturation, HBsAg serologic examination, and provision of vaccines to prevent mother-to-child transmission (MTCT). The quality of antenatal care (ANC) can reduce the morbidity and mortality risk significantly, because adequate management preparation, interprofessional collaboration, the availability of blood transfusions, operative procedures, Intensive Unit Care (ICU), and adequate neonatal facilities can improve the prognosis of pregnancy’s complication cases.