Local Causes Flashcards
Local causes of antepartum hemorrhage include :
Cervical erosion.
Cervical polyp.
Carcinoma of the cervix.
Varicosities of the vulva or introitus.
Vaginitis.
Trauma.
Clinical presentation of local causes
The patient presents with vaginal bleeding which usually scanty.
Treatment of Cervical polyp
usually mucous or fibroadenomatous, should preferably be left alone unless there is active bleeding when gentle avulsion can be performed. Bleeding from the base after removal will usually stop after some hours once pressure is applied.
Management of Varicose veins
Varicose veins may rupture and cause some bleeding. A gentle pressure may be all that is necessary to stop the bleeding. Occasionally it mayberequiredto ligatearupturedvein.