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Antepartum bleeding, also known as antepartum haemorrhage (APH) or prepartum hemorrhage, is genital bleeding during pregnancy after the 24th week of pregnancy up to delivery. [ 1 ] [ 2 ] It can be associated with reduced fetal birth weight. [ 3 ]
Some work best if you want to send a card after surgery or another major medical event, while others keep things lighthearted enough for a text and simple enough for a colleague you don't know ...
Variable [2] Score 0 Score 1 Score 2 Score 3 Age <60 60- 79 >80 Shock: No shock Pulse >100 BP >100 Systolic SBP <100 : Co-morbidity Nil major CHF, IHD, major morbidity : kidney failure, liver failure, metastatic cancer
The type of wound (incision, laceration, puncture, etc.) has a major effect on the way a wound is managed, as does the area of the body affected and presence of any foreign objects in the wound. A serious wound or any complication may require a call to emergency medical services .
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Besides placenta previa and placental abruption, uterine rupture can occur, which is a very serious condition leading to internal or external bleeding. Bleeding from the fetus is rare, but may occur with two conditions called vasa previa and velamentous umbilical cord insertion where the fetal blood vessels lie near the placental insertion site unprotected by Wharton's jelly of the cord. [11]
A detailed stepwise management protocol has been introduced by the California Maternity Quality Care Collaborative. [50] It describes four stages of obstetrical hemorrhage after childbirth and its application reduces maternal mortality. [51] Stage 0: normal - treated with fundal massage and oxytocin.
Causes of gastrointestinal bleeding. Gastrointestinal bleeding can be roughly divided into two clinical syndromes: upper gastrointestinal bleeding and lower gastrointestinal bleeding. [2]