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Antepartum bleeding, also known as antepartum haemorrhage (APH) or prepartum hemorrhage, is genital bleeding during pregnancy after the 28th week of pregnancy up to delivery. [ 1 ] [ 2 ] It can be associated with reduced fetal birth weight. [ 3 ]
Antepartum bleeding (APH), also prepartum hemorrhage, is bleeding during pregnancy from the 24th week [7] (sometimes defined as from the 20th week [8] [7]) gestational age up to the birth of the baby. [5] The primary consideration is the presence of a placenta previa which is a low lying placenta at or very near to the internal cervical os.
656.0 Fetal-maternal hemorrhage affecting management of mother 656.11 Rh incompatibility, delivered; 656.31 Fetal distress, delivered; 656.53 Small-for-dates, antepartum; 656.61 Large-for-dates, delivered; 657 Polyhydramnios; 658 Other problems associated with amniotic cavity and membranes 658.0 Oligohydramnios. 658.03 Oligohydramnios, antepartum
Iatrogenic causes, or bleeding due to medical treatment or intervention, such as sex steroids, anticoagulants, or intrauterine contraceptive devices. [14] Vaginal or cervical bleeding, which may arise from many causes including fibroids, polyps, warts, tumors, vaginitis, or trauma. Importantly, these causes may co-occur with other causes of ...
History may reveal antepartum hemorrhage. Abdominal examination usually finds the uterus non-tender, soft and relaxed. Leopold's maneuvers may find the fetus in an oblique or breech position or lying transverse as a result of the abnormal position of the placenta. Malpresentation is found in about 35% cases. [20]
Fetal-maternal haemorrhage is the loss of fetal blood cells into the maternal circulation. It takes place in normal pregnancies as well as when there are obstetric or trauma related complications to pregnancy.
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Antepartum causes Inadequate oxygenation of maternal blood due to hypoventilation during anesthesia, heart diseases, pneumonia , respiratory failure Low maternal blood pressure due to hypotension e.g. compression of vena cava and aorta , excess anaesthesia.
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