bleeding from or into the genital tract after the 28th week of pregnancy but before the birth of the baby.
Local cervico vaginal lesions cervical polyp, carcinoma cervix, varicose veins, local trauma
1.
2. 3.
1.PLACENTA PRAEVIA
When
Dropping
in decidua
Symptoms
Vaginal Sudden Painless
Recurrent Unrelated
activity
Signs
Size
gestation
Uterus
tenderness
Malpresentation
Floating
head
Presence
DIAGNOSIS
Differential diagnosis
Abruption Vasa
placenta
praevia
cervical lesion
Local
Circumvallate
placenta
1.
During
Antepartum
Malpresentation
Premature
labour
During labour
Early Cord Slow
operative deliveries
Retained
Fetal
Low
death
injuries
Congenital
malformation
At
home
attention treatment
treatment
management
Primordial
Primary
prevention
prevention prevention
Secondary Teriary
prevention
ABRUPTIO PLACENTA
It
where the bleeding occurs due to premature separation of normally situated placenta
1.
Sick placenta
Folic acid deficiency
Torsion Cocaine
abuse
Thrombophilia
1.
2. 3.
Revealed
Concealed Mixed
Mild
Abruptio placenta
abruption placenta
Moderate Severe
abruption placenta
0 1 2
0 1 2
Class
praevia uterus
Sheath hematoma
Apendicular
Twisted Volvulus Acute Tonic
or interstinal perforation
ovarian tumor
Maternal In
In concealed type
Hemorrhage
maternal circulation
Blood
Oliguria
Post
uterus
Puerperal Ischemic
sepsis
Sheehans
Fetal
Prematurity Anoxia Fetal
Treatment
In
at home
Definitive
Preacautions:
Immediate
interventions:
Monitoring: Nursing
management
Origin
Bleeding
Ultrasound FBC,
CTG examination
PROGNOSIS
Good
Rarest
Onset
cause of hemorrhage
with membrane rupture
Blood
Seen
Antepartum
Amnioscopy
diagnosis
Color
doppler ultrasound
vessels during vaginal
Palpate
examination
Immediate