Results 1 to 3 of 3

Thread: antepartum haemorrhage

  1. #1
    Join Date
    Apr 2008
    Location
    Mauritius!!! SSRMC
    Posts
    215
    Rep Power
    13

    Default antepartum haemorrhage

    antepartum haemorrhage

    This is bleeding from the vagina after 24 weeks gestation up until labour. Before 24(??) weeks, bleeding heralds threatened or inevitable abortion.

    APH occurs in 2% of pregnancies and is an important cause of foetal and maternal death - 30% of maternal deaths are caused by APH, of which 50% are associated with avoidable factors.

    aetiology

    Possible causes of antepartum haemorrhage include:

    * placental abruption 15%
    * placenta praevia 10%
    * rarely caused by vasa praevia

    Other causes include:

    * incidental haemorrhage from a lesion of the cervix or vagina - infection, carcinoma, polyp, ectropion
    * show - expulsion of the mucus plug at the onset of labour

    Other causes to consider include:
    * rectal bleeding; bleeding diatheses; haematuria

    placenta praevia (comparison with abruptio placentae)

    These comparisons are generalisations for each condition. Obviously specific cases may vary in terms of the clinical features that occur.

    * pain
    o abruptio - constant
    o placenta praevia - painless
    * obstetric shock
    o abruptio - the actual amount of bleeding may be far in excess of vaginal loss
    o placenta praevia - obsetric shock in proportion to amount of vaginal loss
    * uterus
    o abruptio - uterus is tender and tense
    o placenta praevia - uterus is non-tender
    * fetus
    o abruptio - normal presentation and lie
    o placenta praevia - may have abnormal presentation and/ or lie
    * fetal heart
    o abruptio - fetal heart distressed/absent
    o placenta praevia - in general, fetal heart normal
    * associated problems:
    o abruptio - may be a complication of pre-eclampsia, may cause disseminated intravascular coagulation
    o placenta praevia - small antepartum haemorrhage may occur before larger bleed


    management

    Management depends upon:

    * whether it is a minor or a major bleed
    * what stage of gestation it occurs at
    * whether the blood is fresh or stale

  2. #2
    Join Date
    Nov 2006
    Location
    Mauritius
    Age
    33
    Posts
    4,584
    Rep Power
    214

  3. #3
    Join Date
    Nov 2009
    Age
    32
    Posts
    26
    Rep Power
    0

    Default

    thats goooood
    thanks alot

Thread Information

Users Browsing this Thread

There are currently 1 users browsing this thread. (0 members and 1 guests)

Similar Threads

  1. Replies: 5
    Last Post: 03-22-2011, 07:13 PM

Bookmarks

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •