Third Trimester Bleeding Flashcards
common causes of third trimester bleeding
cervical lesions (cervicitis, polyps) cervix ripening
how to handle cervical lesions during pregnancy
treat if d/t STI
deal with after pregnancy
work-up for bleeding related to cervical dilation
check mom (vital signs) vagina (speculum exam) baby (NST) placenta (ultrasound) blood status with CBC, coags, and DIC panel
what is placenta previa
placenta implanted across the os
presentation of placenta previa
painless 3rd trimester bleeding
fetal distress
risk of placenta previa
multiparity
multiple gestations
diagnosis of placenta previa
ultrasound early to evaluate location of placenta
treatment of placenta previa
if fetal distress: C-section
no distress: C-section
what is placenta abruption
placenta tears of uterus
presentation of placenta abruptio
sudden onset painful 3rd trimester bleeding
causes of placenta abruptio
hypertension, cocaine
trauma
diagnosis of placenta abruptio
ultrasound
treatment of placenta abruptio
deliver via cesarean section
what is a uterine rupture
baby exits uterus into peritoneum
presentation of uterine rupture
painful bleed, but may present without bleeding
