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Bleeding in late pregnancy (Etiology (Non-life threatening (Rectal…
Bleeding in late pregnancy
Occur in
3rd trimester
or
immediately postpartum
Etiology
Life threatening
Placenta pravia
(abnormal implantation)
Classification
Complete
placenta pravia
Partial
placenta pravia
Marginal
placenta pravia
Risk factor
Maternal age > 35 years.
Previous uterine surgeries.
Previous SC
placenta previa
in previous pregnancy.
tobacco use.
uterine curettage.
Pathology
Predisposing factors
Damage of endometrium
Deffetive decidual vascularization exists
Incomplete deveploment of fibrinoid layer
Attachment of placenta to lower uterine segment
2 more items...
Assessment
amount & type of bleeding
presence / absence of pain ~ bleeding
maternal & fetal V\S
uterine contraction
Laboratory data Hct / Hgb
fetal status + fetal conscious monitoring
*Never perform vaginal examination
Placental abruption
Uterine rupture
vasa previa
Non-life threatening
R
ectal bleeding
U
rinary bleeding
C
oagulation disorders
C
ervical cancer
C
ontact bleeding (trauma)
C
ervical inflammation