Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

OBGY Week 4 > Bleeding in pregnancy > Flashcards

Bleeding in pregnancy Flashcards

1
Q

What is the cutoff between early and late pregnancy?

A

24 weeks (

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Definition of antepartum haemorrhage?

A

Bleeding from the genital tract after 24 weeks gestation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Causes of antepartum haemorrhage?

A 
Placenta Previa
Placental abruption
Polyps, cancer, infection
Vasa previa
Uterine rupture
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is placental abruption?

A

A separation of a normally implanted placenta partially or totally, before the birth of the fetus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Risk factors for abruption?

A 
Pre eclampsia
Trauma
Substance misuse
Multi pregnancy
Medical

etc

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Clinical features of abruption?

A 
Small or large volume blood loss
Sudden onset Pain
Uterine tenderness/wooden hard
Uterus feels large
Difficult to feel fetal parts
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

How is abruption diagnosed?

A

Clinical diagnosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is placenta previa?

A

Placenta partially or totally implanted in lower uterine segment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Symptoms of placenta previa?

A

Painless recurrent 3rd trimester bleeding

Uterus soft non tender

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

How is placenta previa diagnosed?

A

Ultrasound anomaly scan at 20 weeks then 32/34

Vaginal exam should not be carried out until excluded!!!!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

How are babies with placenta previa delivered?

A

Major degree–> C section

Minor degree–> Vaginal delivery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is placenta accreta?

A

Placenta invading the myometrium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is placenta percreta?

A

Placenta reaching the serosa

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Causes of uterine rupture?

A

Previous CS/Uterine surgery
Obstructed labour
Peritonism
Fetal head high

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is vasa previa?

A

A complication of pregnancy in which babies blood vessels cross or run near the internal opening of the uterus, the vessels are at risk of rupture when membranes rupture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Symptoms of APH?

A 
Small volume
Painless
Uterus soft non tender
No fetal distress
Normally sited placenta
17
Q

Management of placenta previa?

A 
Admit
IV access, cross match
Scan
Anti D
Steroids
Delivery
18
Q

Delivery in Placenta praevia?

A

C section 37/38 if bleeding

C Section 38/39 if no bleeding

19
Q

What role do steroids play in placental abruption and previa?

A

Promote fetal lung surfactant production

Decrease RDS by up to 50% if administered 24-48h before delivery

Only significant effects up to 34 weeks

20
Q

Causes of post partum haemorrhage?

A

4 T’s

Tone
Trauma
Tissue
Thrombin

21
Q

Initial management of PPH?

A

Uterine massage

5 units IV syntocinon stat

40 units syntocinon in 500ml hartmanns- 125ml/h

22
Q

Managment of persistent PPH?

A

Confirm placenta and membranes complete

Urinary catheret

500mcg Ergometrine IV

23
Q

Non surg treatment of PPH?

A

Packs/balloons
Tissue sealants
Factor VIIa
Arterial embolisation

24
Q

Surgical treatment of PPH?

A 
Undersuturing
Brace suture
Uterine artery ligation
Internal iliac artery ligation
Hysterectomy

OBGY Week 4 (8 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions