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to term. A fixed retrodis piaced uterus, resulting either<br />

from<br />

adhesions from endometriosis or from <strong>an</strong> old healed inflammatory<br />

process, occasionally<br />

plays a part. Submucous fibroids may be<br />

a silent or symptomatic<br />

cause.<br />

(From-CURRENT THERAPY, 1975. p. 716)<br />

T10N - Text number 10 - Nursing<br />

PLACENTA<br />

PREVIA<br />

Placenta previa is a term used to describe impl<strong>an</strong>tation<br />

<strong>of</strong> the placenta within the lower uterine segment. This<br />

phenomenon<br />

occurs in 0.5 to 1.0 per' cent <strong>of</strong> pregn<strong>an</strong>cies in the third<br />

trimester; a higher incidence in early pregn<strong>an</strong>cy is explained<br />

<strong>by</strong> the fact that the condition is frequently associated with<br />

early abortion. The classification <strong>of</strong> placenta previa depends<br />

on the degree <strong>of</strong> coverage <strong>of</strong> the lower uterine segment.<br />

In<br />

placenta previa centralis the internal cervical os is totally<br />

occluded <strong>by</strong> the placenta; placenta previa marginal is<br />

indicates<br />

a partial encroachment upon the os;low impl<strong>an</strong>tation <strong>of</strong> the<br />

placenta is used to describe placentas which are attached to<br />

the lower uterine segment. Adv<strong>an</strong>cing maternal age <strong>an</strong>d<br />

increasing parity predispose to the development <strong>of</strong> placenta<br />

previa; the condition is perhaps related to defective<br />

vascularization <strong>of</strong> the decidua or unfavorable uterine environment<br />

shortly after<br />

conception.<br />

T11N - Text number 11 - Nursing<br />

PYELONEPHRITIS<br />

The most common variety <strong>of</strong> interstitial<br />

nephritis

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