Bleeding during pregnancy

Question 1

Which part of the placenta is where it implants

Answer 1

Myometrium

Question 2

Causes of placental insufficiency

Answer 2

• hypertension, pre-eclampsia
• smoking
• drug use (esp cocaine)
• anaemia

Question 3

Definition of antepartum haemorrhage

Answer 3

Bleeding AFTER 24w.

Question 4

The following are causes of bleeding during pregnancy. Which happen during which trimester?

Spontaneous abortion
Ectopic pregnancy
Hydatidiform mole
Bloody show
Placental abruption
Placenta praevia
Vasa praevia

Answer 4

1st TRIMESTER
Spontaneous abortion
Ectopic pregnancy
Hydatidiform mole

2nd TRIMESTER
Spontaneous abortion
Hydatidiform mole
Placental abruption

3rd TRIMESTER
Bloody show
Placental abruption
Placenta praevia
Vasa praevia

Question 5

Features of a hydatidiform mole

• symptoms in mum
• features of uterus
• relevant blood tests

Answer 5

Hyperemesis
Bleeding in 1st/ 2nd trimester
Large for date uterus
HCG levels very high