Vaginal bleeding in pregnancy (greater than 20wks): Difference between revisions
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==See Also== | ==See Also== | ||
*[[Vaginal bleeding (main)]] | |||
*[[Emergent delivery]] | *[[Emergent delivery]] | ||
==External Links== | ==External Links== | ||
Revision as of 18:10, 12 January 2021
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
- 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