Antepartum haemorrhage
From Wikipedia, the free encyclopedia
| Antepartum haemorrhage Classification and external resources |
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| ICD-10 | O46. |
|---|---|
| ICD-9 | 641 |
| DiseasesDB | 0077 |
In obstetrics, antepartum haemorrhage (APH), also prepartum hemorrhage, is bleeding from the vagina during pregnancy from twenty eight weeks gestational age to term.
It should be considered a medical emergency (regardless of whether there is pain) and medical attention should be sought immediately, as if it is left untreated it can lead to death of the mother and/or fetus.
It can be associated with reduced fetal birth weight.[1]
Bleeding without pain is most frequently bloody show, which is benign; however, it may also be placenta previa (in which both the mother and fetus are in danger). Painful APH is most frequency placental abruption.
Contents |
[edit] Differential diagnosis of APH
- Bloody show (benign) - most common cause of APH
- Placental abruption - most common pathological cause
- Placenta previa - second most common pathological cause
- Vasa previa - often difficult to diagnose, frequently leads to fetal demise
- Uterine rupture
- Bleeding from the lower genital tract
- Cervical bleeding - cervicitis, cervical neoplasm, cervical polyp
- Bleeding from the vagina itself - trauma, neoplasm
- Bleeding that may be confused with vaginal bleeding
[edit] References
- ^ Lam CM, Wong SF, Chow KM, Ho LC (2000). "Women with placenta praevia and antepartum haemorrhage have a worse outcome than those who do not bleed before delivery". Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology 20 (1): 27–31. doi:. PMID 15512459.
[edit] See also
[edit] External links
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