Vaginal Bleeding in Pregnancy
Basics
Description
Description
- Major cause of maternal/fetal morbidity and mortality
- Early pregnancy hemorrhage (≤20 wk):
- Occurs in 30% of all pregnancies
- 50% lead to spontaneous abortion
- Late pregnancy hemorrhage (>20 wk):
- Occurs in 3–5% of all pregnancies
- Risk factors:
- Advanced maternal age
- Substance abuse
- Pelvic inflammatory disease (PID)
- Previous cesarean section
- Previous termination of pregnancy
- Previous dilation and curettage (D&C)
- Previous ectopic pregnancy
- Increased parity
- Multiple gestation
- Preeclampsia
- Hypertension
- Trauma
- Use of assisted reproductive technology
- Genetics:
- 50–60% of miscarriages due to chromosomal abnormalities
Etiology
Etiology
- Vaginal
- Cervical
- Uterine
- Uterine–placental interface
- Hematologic dysfunction
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Citation
Schaider, Jeffrey J., et al., editors. "Vaginal Bleeding in Pregnancy." 5-Minute Emergency Consult, 6th ed., Lippincott Williams & Wilkins, 2020. Emergency Central, emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307531/all/Vaginal_Bleeding_in_Pregnancy.
Vaginal Bleeding in Pregnancy. In: Schaider JJJ, Barkin RMR, Hayden SRS, et al, eds. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2020. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307531/all/Vaginal_Bleeding_in_Pregnancy. Accessed October 15, 2024.
Vaginal Bleeding in Pregnancy. (2020). In Schaider, J. J., Barkin, R. M., Hayden, S. R., Wolfe, R. E., Barkin, A. Z., Shayne, P., & Rosen, P. (Eds.), 5-Minute Emergency Consult (6th ed.). Lippincott Williams & Wilkins. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307531/all/Vaginal_Bleeding_in_Pregnancy
Vaginal Bleeding in Pregnancy [Internet]. In: Schaider JJJ, Barkin RMR, Hayden SRS, Wolfe RER, Barkin AZA, Shayne PP, Rosen PP, editors. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2020. [cited 2024 October 15]. Available from: https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307531/all/Vaginal_Bleeding_in_Pregnancy.
* Article titles in AMA citation format should be in sentence-case
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ED - Wolfe,Richard E,
BT - 5-Minute Emergency Consult
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