VAGINAL BLEEDING

FIRST TRIMESTER BLEEDING

ABORTION

p.health abortion.ppt
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Infertility and bleeding clerking sheets
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Accidental Abortion.rar
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TRIADS

Accidental hge triad:
* Late trimester PAINFUL bleeding
*Normal placental implantation
*DIC

Placenta Previa Triad:
*Late Trimester bleeding
*Low Segment placental implantation
*NO PAIN

Uterine Rupture Triad:
*Late Trimester Bleeding
*Loss of Fetal Heart tracing
*Inability to identify uterine contractions

Triads of Abortion

THREATENED ABORTION:
*1st trimester bleed
*Sono: Norm. pregnancy
*Internal os CLOSED
---Management: conservative

MISSED ABORTION
*1st trimester bleed
*Sono: NON-viable pregnancy
*Internal os CLOSED
---Manage: D&C and conservative

INEVITABLE ABORTION
*1st trimester bleed
*NO POC passed vaginally
*Internal os DILATED
---Manage: EMERGENCY D&C

INCOMPLETE ABORTION
*1st trimester bleed
*Retained POC, but SOME POC PASSED
*Internal os DILATED
---Manage: EMERGENCY D&C

COMPLETE ABORTION
*1st trimester bleed
*NO POC RETAINED
*Internal os CLOSED
(Note: cervical os closes after all POC are expelled)
--->Thanks again to Aashi for correcting this one.
---Manage: Observe and serial B-hCG

Diagnosis of PROM

*Post. fornix pooling -clear watery amniotic fluid
*Fluid is nitrazine positive -turns pH sensitive paper blue
*Glass slide drying shows fern positive -ferning pattern when allowed to dry

Postpartum Hemorrhage (S575)