Vaginal bleeding in pregnancy (greater than 20wks): Difference between revisions
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==Background== | ==Background== | ||
Do NOT perform digital exam in | *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== | |||
{{VB DDX greater than 20}} | |||
==Evaluation== | |||
===Workup=== | |||
*Pregnancy test (urine or serum) | |||
*Hemoglobin (CBC or POC) | |||
*Consider type & screen | |||
===Diagnosis=== | |||
==Management== | |||
==Disposition== | |||
==See Also== | ==See Also== | ||
{{DDX undifferentiated VB}} | |||
==External Links== | |||
== | ==References== | ||
<references/> | |||
[[Category: | [[Category:OBGYN]] |
Latest revision as of 18:31, 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
Diagnosis
Management
Disposition
See Also
Vaginal bleeding (main)
- Non-pregnant vaginal bleeding
- Pregnant