Amount of the blood loss 2. Colour flow Doppler USG in placenta praevia is indicated to detect any placenta accreta. Cervical carcinoma in pregnancy requires special attention. Availability of blood for transfusion whenever required. Feel of uterus Soft and relaxed. APH A, Partial abruption with concealed hemorrhage. 
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Associated regular uterine contractions and cervical changes.
Coagulation Profile Usually unchanged. Advanced maternal age Obesity Smoking Multiple gestation Concurrent medical disorders Complicated pregnancy.
However some theories are postulated regarding this. Localization of placenta Clinical MRI By internal examination by double set up examination Transabdominal ultrasound Direct hemotrhage during caesarean section Transvaginal ultrasound Examination of the placenta following vaginal delivery Transperineal ultrasound Colour Doppler flow study APH Slide Types of Abruptio Placentae: They are as follows.
Vaginal delivery should never be attempted outside the operating room in a patient with placenta previa. Oxytocin 10 IU IV slow is given with delivery of baby to minimize postpartum blood loss. Vaginal examination Placenta is felt on the lower segment.
Antepartum Hemorrhage PPT
Placenta accreta is a severe obstetric complication involving an abnormally deep attachment hemmorrhage the placenta, through the endometrium and into the myometrium APH. Anemia and devitalized state of the patient Sub involution Embolism Fetal complication: Feel of uterus Soft and relaxed.
Benign conditions like cervical ectropioncervical polyp are not treated during the pregnancy. Its may be considered where placental edge is clearly cm away from the internal cervical os. It is associated with significant maternal and fetal morbidity and mortality. Persistence of malpresentation like breech or transverse or unstable lie. Earlier bleeding is more likely to occur in major hemorrhwge. Patient immediately put to bed.
Disproportionately enlarged and globular.
Depends upon the duration of pregnancy, fetal and maternal status and the extent of the haemorrhage APH. The exact cause of separation of normally situated placenta remains obscure in majority of cases. APH Extra placental bleeding. Inspection of the vulva. Shock may be pronounced which is out of proportion to visible blood loss. Only inspection is done to note whether bleeding id still occurring or has ceased, character antepatrum the blood.
Duration of pregnancy is less than 37wks. Grade 0- clinical features absent.
Antepartum hemorrhage – Knowledge for medical students and physicians
A gentle speculum examination of the cervix and vagina helps to settle the diagnosis of local causes of bleeding in such cases. Antenatal diagnosis of low lying placenta at 20 weeks with routine ultrasound, and repeat the ultrasound examination at 34 weeks to confirm the diagnosis.
Definition The partial or complete separation of the placenta from the uterus prior to deliver y. Types of Placenta Praevia: It is done for all woman with sonographic evidence of placenta praevia where antepaartum edge is within 2cm from the internal os.
The treatment approach depends on maternal symptoms and fetal vitality.
ANTEPARTUM HAEMORRHAGE |authorSTREAM
The presenting part is high up. Features of pre- eclampsia Not relevant. The incidence is increased beyond the age of 35yrs, with high birth order pregnancies and multiple pregnancy.
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