bleeding in late pregnany

Question 1

a bleed after 24 weeks is called what?

Answer 1

antepartum haemorrhage

Question 2

what is placental abruption?

Answer 2

separation of normally implanted placenta partially/totally before birth

Question 3

risk factors for placental abruption?

Answer 3

pre-eclampsia, 
twins
trauma
smoking
cocaine
amphetamine
polyhydramnios
abnormal placenta
diabetes
renal disease

Question 4

couvelaine uterus

Answer 4

placental abruption

Question 5

symptoms of placental abruption

Answer 5

PAIN sudden onset
blood loss
tender uterus- wooden hard
difficulty feeling fetal parts

Question 6

how to manage placental abruption

Answer 6

admit
need IV access
deliver viable baby ( C section)
anti D
need paeds
steroids if expectant managment

Question 7

what is placenta previa?

Answer 7

when the placenta is partially or totally implanted in lower uterine segment

Question 8

symptoms of placenta previa

Answer 8

painless bleeding

soft uterus

Question 9

how do you diagnose placenta previa

Answer 9

USS

Question 10

what must you not do until you exclude placenta previa

Answer 10

vaginal exam

Question 11

what is placenta acrete

Answer 11

when the placenta invades the myometrium

Question 12

what may suggest a uterine rupture has occured

Answer 12

blood loss
previous C section
obstructed labour
fetal distress
haematuria

Question 13

what is vasa praevia?

Answer 13

velamentous insertion of cord/ succenturate lobe

fetal vessel within membrane
can cause fetal death