Bleeding in pregnancy

Question 1

Antepartum haemorrhage is

Answer 1

Antepartum haemorrhage is defined as bleeding after 24 weeks

Question 2

Spontaneous abortion
Ectopic pregnancy
Hydatidiform mole

Answer 2

1st trimester

Question 3

Spontaneous abortion
Hydatidiform mole
Placental abruption

Answer 3

2nd trimester

Question 4

Bloody show
Placental abruption
Placenta praevia
Vasa praevia

Answer 4

3rd trimester

Question 5

painless vaginal bleeding typically around 6-9 weeks
No pooling

Answer 5

Threatened miscarriage

Question 6

• light vaginal bleeding and symptoms of pregnancy disappear

Answer 6

Missed (delayed) miscarriage

Question 7

complete or incomplete depending or whether all fetal and placental tissue has been expelled.

Answer 7

Inevitable miscarriage

Question 8

heavy bleeding and crampy, lower abdo pain.

Answer 8

Incomplete miscarriage

Question 9

• little bleeding

Answer 9

Complete miscarriage

Question 10

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

Answer 10

Hydatidiform mole

Question 11

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

Answer 11

Placental abruption

Question 12

Vaginal bleeding, no pain. Non-tender uterus* but lie and presentation may be abnormal

Answer 12

Placenta praevia

Question 13

Rupture of membranes followed immediately by vaginal bleeding. Fetal bradycardia is classically seen

Answer 13

Vasa praevia

Question 14

Until when should LMWH be given after pregnancy

Answer 14

6 weeks