Antepartum Haemorrhage Flashcards Preview

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Flashcards in Antepartum Haemorrhage Deck (21)
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1

Antepartum haemorrhage describes any vaginal bleeding during what period of time?

24 weeks until delivery

2

Which type of antepartum haemorrhage is this describing: separation of the placenta from the uterine wall before delivery?

Placental abruption

3

Which type of antepartum haemorrhage is this describing: a placenta either partially or wholly covering the cervix?

Placenta praevia

4

Which type of antepartum haemorrhage is this describing: a placenta that is abnormally adherent to the myometrium, usually at the site of the scar from a previous C-section?

Placenta accreta

5

Which type of antepartum haemorrhage is this describing: bleeding from foetal vessels?

Vasa praevia

6

How is placenta accreta managed?

C-section, usually with hysterectomy

7

Which types of antepartum haemorrhage are painful?

Placental abruption and uterine rupture

8

Which is the only type of antepartum haemorrhage not to cause maternal haemodynamic compromise?

Vasa praevia

9

Which is the only type of antepartum haemorrhage not to cause foetal distress?

Placenta praevia

10

Foetal compromise and maternal collapse disproportionate to the degree of blood loss visible is a common sign of which type of antepartum haemorrhage?

Placental abruption

11

A tense and tender uterus is most suggestive of which type of antepartum haemorrhage?

Placental abruption

12

How is placental abruption managed?

Resuscitation, stabilisation and delivery

13

Before any examination can proceed in a women with antepartum haemorrhage, what investigation must be done? This is to rule out what condition?

Ultrasound to rule out placenta praevia

14

How is a uterine rupture managed?

Emergency C-section

15

How is vasa praevia managed?

Emergency C-section

16

Once the mother's condition has been stabilised, how is the foetus monitored?

CTG

17

What investigation and intervention is required for Rhesus negative women who have an antepartum haemorrhage?

Kleihauer test and anti-D

18

If significant antepartum haemorrhage occurs before 35 weeks, what additional medication is given in case delivery is required?

Corticosteroids

19

Antepartum haemorrhage with abdominal pain, maternal haemodynamic compromise and foetal distress is most suggestive of which two diagnosis?

Placental abruption and uterine rupture

20

Antepartum haemorrhage with maternal haemodynamic compromise but no abdominal pain and no foetal distress is most suggestive of what diagnosis?

Placenta praevia

21

Antepartum haemorrhage with foetal distress but no abdominal pain or maternal haemodynamic compromise is most suggestive of what diagnosis?

Vasa praevia