Search This Blog

Antepartum Hemorrhage

Any Bleeding from genital tract after 24 to 28 weeks of pregnancy and Before delivery of the fetus

4% of all pregnancy


Placental causes ( 50-70%) (obstetric causes)

_Placental previa
-Placental abruption
-Velamentous insertion of cord
-Marginal sinus rupture
-Circumvellate placenta
-Rarely rupture uterus

Excessive show

Non Obstetric Causes

_Cervical polyp
-Cervical ectopy (erosion)
_Carcinoma cervix
_Vaginal/ vulval Varicositis

Indeterminate Bleeding

Abruptio Placentae / accidental hemorrhage


Revealed / External hemorrhage

Concealed hemorrhage- carries worse risk , increased risk of consumptive coagulopathy / extent of hemorrhage not appreciated


Total / partial
Incidence : 0.5%


Advancing Maternal age

Race- more common among african american as compared to asians

main etiology is Hypertension such as chronic HTN : pre eclampsia

Uterine over distention e.g multiple pregnancy


Cigarette smoking / cocaine

acquired thrombophilias

previous abruption


Vascular injury

Rise in Uterine venous pressure
also separation of placenta

Clinical feature


Bleeding (may be altered / fresh blood
Abdominal pain- Continuos pain
Too frequent contraction
Back pain

No comments:

Post a Comment