3rd Trimester Bleeding

Question 1

What are the dz oh third trimester bleeding?

Answer 1

Placenta Previa
Placental abruption
Uterine rupture
Vasa previa

Question 2

What is the pathology of Placenta previa?

Answer 2

Placenta implant across os, os dilates and tears placenta baby’s blood

Question 3

What are the risk and symptoms of placenta previa?

Answer 3

Risk- multiple gestations, multiparous

Symptoms - painless third trimester bleeding, baby in danger

Question 4

How is placenta previa dx, Tx and catergories?

Answer 4

U/S - transverse lie
C/NST - fetal distress

Tx- C/S

Marginal - barely into OS
Partial - halfway into OS
Complete - across the OS

Question 5

What is the pathology of placental abruption?

Answer 5

Tearing of the placenta off mom, HTN, Cocaine, MVA

Moms blood

Question 6

What is the symptoms of placental abruption?

Answer 6

Painful third trimester bleeding, Sudden onset of pain

Question 7

How is placental abruption Dx, tx, F/U?

Answer 7

U/S - tear
C/NST- fetal distress

Tx- C/S

F/U concealed abruption

Question 8

What is the pathology of Uterine rupture?

Answer 8

C/S scar, oxytocin

Baby is birthed into peritonieum as baby takes path of least resistance

Question 9

What are the symptoms and Tx of Uterine rupture?

Answer 9

Painful bleed
Delivery
Decreased CTX
Decreased fetal heart rate

Tx- Don’t wait, crash section

Question 10

What is the pathology of Vasa Previa?

Answer 10

Accessory lobe blood vessels crosses the OS, OS dilates and blood vessels tear, Baby’s blood

Question 11

What is the symptoms Dx, and Tx of Vasa previa?

Answer 11

Symptoms- painless 3rd trimester bleeding, Fetal distress

Dx- C/NST, fetal distress

Tx- C-section