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Gynaecology & Obstetrics General 950fb90a

Placenta previa mouth is associated with all of the following except:

A
Large placenta
B
Previous C. S. scar
C
Primigravida
D
Previous placenta previa
High-Yield Explanation
Placenta previa is implantation of the placenta partially or completely over the lower uterine segment. Damage to the endometrium or myometrium due to previous surgery or infection can predispose to low implantation and placenta previa. Risk factors for placenta previa: Prior surgery (cesarean section / Myomectomy Hysterotomy) Previous uterine curettage Endometritis Increasing maternal age (>35 years) Increasing parity Placental size –increased (as in multiple pregnancy) Placental abnormality –Succenturiate lobe Smoking (due to defective decidual vascularisation) Elevated prenatal maternal serum alpha fetoprotein levels (unexplained)

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