Vaginal bleeding in pregnancy (greater than 20wks): Difference between revisions
| Line 4: | Line 4: | ||
==Clinical Features== | ==Clinical Features== | ||
''[[Maternal Vitals and Labs in Pregnancy]]'' | |||
*Vaginal bleeding | *Vaginal bleeding | ||
*Uterine fundus palpable above umbilicus | *Uterine fundus palpable above umbilicus | ||
Revision as of 17:20, 4 December 2024
Background
- Do NOT perform digital exam in patients who present with vaginal bleeding when >20 weeks pregnant
- Only 20% of miscarriages occur after the first trimester
Clinical Features
Maternal Vitals and Labs in Pregnancy
- Vaginal bleeding
- Uterine fundus palpable above umbilicus
Differential Diagnosis
Vaginal Bleeding in Pregnancy (>20wks)
- Emergent delivery
- Placental abruption
- Placenta previa
- Vasa previa
- Uterine rupture
- Preterm labor
- Vaginal trauma
- Placenta accreta
- Intrauterine fetal demise
Evaluation
Workup
- Pregnancy test (urine or serum)
- Hemoglobin (CBC or POC)
- Consider type & screen