Vaginal bleeding in pregnancy (greater than 20wks): Difference between revisions
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==Evaluation== | ==Evaluation== | ||
===Workup=== | ===Workup=== | ||
*Pregnancy test (urine or serum) | |||
*Hemoglobin (CBC or POC) | |||
*Consider type & screen | |||
===Diagnosis=== | ===Diagnosis=== | ||
Revision as of 18:12, 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
Evaluation
Workup
- Pregnancy test (urine or serum)
- Hemoglobin (CBC or POC)
- Consider type & screen