Antepartum Haemorrhage Flashcards
(21 cards)
Antepartum haemorrhage describes any vaginal bleeding during what period of time?
24 weeks until delivery
Which type of antepartum haemorrhage is this describing: separation of the placenta from the uterine wall before delivery?
Placental abruption
Which type of antepartum haemorrhage is this describing: a placenta either partially or wholly covering the cervix?
Placenta praevia
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
Which type of antepartum haemorrhage is this describing: bleeding from foetal vessels?
Vasa praevia
How is placenta accreta managed?
C-section, usually with hysterectomy
Which types of antepartum haemorrhage are painful?
Placental abruption and uterine rupture
Which is the only type of antepartum haemorrhage not to cause maternal haemodynamic compromise?
Vasa praevia
Which is the only type of antepartum haemorrhage not to cause foetal distress?
Placenta praevia
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
A tense and tender uterus is most suggestive of which type of antepartum haemorrhage?
Placental abruption
How is placental abruption managed?
Resuscitation, stabilisation and delivery
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
How is a uterine rupture managed?
Emergency C-section
How is vasa praevia managed?
Emergency C-section
Once the mother’s condition has been stabilised, how is the foetus monitored?
CTG
What investigation and intervention is required for Rhesus negative women who have an antepartum haemorrhage?
Kleihauer test and anti-D
If significant antepartum haemorrhage occurs before 35 weeks, what additional medication is given in case delivery is required?
Corticosteroids
Antepartum haemorrhage with abdominal pain, maternal haemodynamic compromise and foetal distress is most suggestive of which two diagnosis?
Placental abruption and uterine rupture
Antepartum haemorrhage with maternal haemodynamic compromise but no abdominal pain and no foetal distress is most suggestive of what diagnosis?
Placenta praevia
Antepartum haemorrhage with foetal distress but no abdominal pain or maternal haemodynamic compromise is most suggestive of what diagnosis?
Vasa praevia
