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Symptoms include vaginal bleeding, abdominal pain, premature labor and threatened miscarriage. [6] Ultrasonography is the preferred method of diagnosis. [7] A chorionic hematoma appears on ultrasound as a hypoechoic crescent adjacent to the gestational sac. The hematoma is considered small if it is under 20% of the size of the sac and large if ...
The term miscarriage is sometimes used to refer to all forms of pregnancy loss and pregnancy with abortive outcomes before 20 weeks of gestation. The most common symptom of a miscarriage is vaginal bleeding, with or without pain. [1] Tissue and clot-like material may leave the uterus and pass through and out of the vagina. [16]
Amounts of blood: large amounts of blood, or there is blood-streaked sputum; Probable source of bleeding: Is the blood coughed up, or vomited? Bloody sputum. color, characters: blood-streaked, fresh blood, frothy pink, bloody gelatinous. Accompanying symptoms fever, chest pain, coughing, purulent sputum, mucocutaneous bleeding, jaundice.
It is estimated that less than 1ml of fetal blood is lost to the maternal circulation during normal labour in around 96% of normal deliveries. [ 1 ] [ 2 ] The loss of this small amount of blood may however be a sensitising event and stimulate antibody production to the foetal red blood cells, an example of which is Rhesus disease of the newborn.
Severe abdominal pain and/or cramping /or strong perineal pressure; Beginning miscarriage symptoms (heavy bleeding and or cramping) that suddenly stops and does not resume; Prolonged or heavy vaginal bleeding; Foul-smelling vaginal discharge; Backache or heavy back pressure; A cold or urinary tract infection may mimic many of the symptoms.
The differential in suspected cases includes uterine atony, blood clot, gestational trophoblastic disease, and normal post partum appearance of the uterus. Post partum blood clot is more common, reported in up to 24% of postpartum patients, and tends to be more hypoechoic than retained products with absent color flow on Doppler, and resolving ...
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Placental abruption causes blood loss from the mother and loss of oxygen and nutrients to the placenta occasionally leading to preterm labour. [14] Other causes of placental abruption can be abdominal trauma or sudden decompression of amniotic fluid , however it is not uncommon for the cause of placental abruption to be unknown.