Definition And Classification

Question 1

What’s the definition of antepartum hemorrhage

Answer 1

Antepartum haemorrhage is bleeding from the genitaltractafterthe28thweekofgestationand beforethe onset oflabour.

Question 2

List 5 classification of antepartum heamorrhage

Answer 2

Placentapraevia

Abruptio placentae

Haemorrhage of undetermined origin

Local causes

5. Vasa praevia

Question 3

What’s placenta previa

Answer 3

1. Placenta praevia This is when the placenta is in part or entirely in the lower uterine segment because it is seen there at imaging, caesarean section or at examinationintheatre (BIT)

Question 4

What is Abruptio placentae ?

Answer 4

Abruptio placentae is bleeding from a normally situated placenta, which is the upper uterine segment. The bleeding is a result of premature separation of part or the whole of the placenta.
A diagnosis of abruptio placentae is made when there are clinical signs of tense,tender uterus or if there’s evidence of retroplacental clot at delivery.

Question 5

What is placenta previa?

Answer 5

A condition where the placenta is positioned low in the uterus and partially or completely covers the cervix.

Question 6

True or False: Placenta previa can cause bleeding during pregnancy.

Answer 6

True

Question 7

What are the types of placenta previa?

Answer 7

Complete, partial, marginal, and low-lying placenta previa.

Question 8

Fill in the blank: The main symptom of placenta previa is __________.

Answer 8

painless vaginal bleeding in the second or third trimester.

Question 9

Which imaging technique is commonly used to diagnose placenta previa?

Answer 9

Ultrasound.

Question 10

What are the most common risk factor for placenta previa?

Answer 10

A) Advanced maternal age
B) Smoking
C) Previous cesarean delivery
D) large placenta surface
E) previous uterine damage during d$c
F) high parity
G) faulty implantation of ovum

Question 11

What is the recommended management for a patient with complete placenta previa?

Answer 11

Delivery via cesarean section.
Blood transfusion replace any blood loss and raise the haeomoglobin to about 80 percent (11.7 gm)

An initial sedation
such as pethidine100mgisprescribed.

A scan is repeatedperiodically to look for evidence of placenta rising, and measurement of the fetal abdominal circumference as a means of detecting fetal growth restriction.

For Types I and II anterior placenta praevia,the treatment is artificial rupture of membranes followed by intravenous oxytocic infusion to induce labour and effect delivery.

For Types II posterior III and IV ,the treatment is caesarean section.

Question 12

True or False: Women with placenta previa can have a vaginal delivery.

Answer 12

False

Question 13

What should patients with placenta previa avoid to prevent complications?

Answer 13

Activities that may provoke bleeding, such as vigorous exercise and sexual intercourse.

Question 14

Fill in the blank: The risk of placenta previa increases with __________.

Answer 14

the number of previous pregnancies.

Question 15

Short answer: What is the potential complication of untreated placenta previa?

Answer 15

Severe hemorrhage during labor.

Question 16

What is the typical follow-up care for a patient diagnosed with placenta previa?

Answer 16

Regular ultrasounds to monitor the position of the placenta and assess for any changes.

Question 17

True or False: Placenta previa can resolve on its own as the pregnancy progresses.

Answer 17

True

Question 18

What is the term for when the placenta is located at the edge of the cervix?

Answer 18

Marginal placenta previa.

Question 19

Multiple Choice: At what stage of pregnancy is placenta previa most commonly diagnosed? A) First trimester B) Second trimester C) Third trimester D) At delivery

Answer 19

B) Second trimester

Question 20

What is placenta abruptio?

Answer 20

Placenta abruptio is the premature separation of the placenta from the uterine wall.