Underlying

Pregnancy, Childbirth, & the Puerperium


{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"Painless vaginal bleeding in late pregnancy is almost always due to placenta previa, and should be considered as such until proven otherwise.\n\nPlacental abruption is the other major cause of antepartum hemorrhage; due to the sheer frequency, it merits consideration.\n\nOther potential (but much less common) etiologies include bleeding from the genital tract (due to cervical polyps, erosions or carcinoma); or vasa previa, where the bleeding is from the fetus.\n\nThe first priority is to quantify the degree of maternal bleeding, and determine if fetal distress is present. In parallel, a clinical evaluation should be performed, aiming to establish the etiology.\n\nAt the moment, she is hemodynamically stable, with no active bleeding. Thus, blood tra"}]}

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