Bleeding in pregnancy Flashcards
Antepartum haemorrhage is
Antepartum haemorrhage is defined as bleeding after 24 weeks
Spontaneous abortion
Ectopic pregnancy
Hydatidiform mole
1st trimester
Spontaneous abortion
Hydatidiform mole
Placental abruption
2nd trimester
Bloody show
Placental abruption
Placenta praevia
Vasa praevia
3rd trimester
painless vaginal bleeding typically around 6-9 weeks
No pooling
Threatened miscarriage
- light vaginal bleeding and symptoms of pregnancy disappear
Missed (delayed) miscarriage
complete or incomplete depending or whether all fetal and placental tissue has been expelled.
Inevitable miscarriage
heavy bleeding and crampy, lower abdo pain.
Incomplete miscarriage
- little bleeding
Complete miscarriage
Typically bleeding in first or early second trimester associated with exaggerated symptoms of pregnancy e.g. hyperemesis. The uterus may be large for dates and serum hCG is very high
Hydatidiform mole
Constant lower abdominal pain and, woman may be more shocked than is expected by visible blood loss. Tender, tense uterus* with normal lie and presentation. Fetal heart may be distressed
Placental abruption
Vaginal bleeding, no pain. Non-tender uterus* but lie and presentation may be abnormal
Placenta praevia
Rupture of membranes followed immediately by vaginal bleeding. Fetal bradycardia is classically seen
Vasa praevia
Until when should LMWH be given after pregnancy
6 weeks