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Antepartum bleeding (APH), also prepartum hemorrhage, is bleeding during pregnancy from the 24th week [7] (sometimes defined as from the 20th week [8] [7]) gestational age up to the birth of the baby. [5] The primary consideration is the presence of a placenta previa which is a low lying placenta at or very near to the internal cervical os.
Early pregnancy loss is a term often used interchangeably with spontaneous abortion and miscarriage and refers to pregnancy loss during the first trimester. [7] It is the most common cause of early pregnancy bleeding and is associated only with heavy (versus light) bleeding. [8] However, patients typically remain hemodynamically stable.
During pregnancy the plasma volume increases by 40-50% and the red blood cell volume increases only by 20–30%. [22] These changes occur mostly in the second trimester and prior to 32 weeks gestation. [ 24 ]
[8] [9] However, the case of intrauterine hematoma observed before 9 weeks of gestational age has been associated with an increased risk of miscarriage. [10] In one study women who complied with instructions for bed rest for the duration of bleeding had a lower rate of miscarriage and a higher rate of term pregnancy than non-compliant women.
This clinical sign can be observed during a patient's examination as early as 8 to 12 weeks' gestation, serving as an early sign of pregnancy, but it is rarely seen before 7 weeks' gestation. [1] The discovery of this colour change dates back to approximately 1836 when French doctor Étienne Joseph Jacquemin (1796–1872) first identified it. [2]
Vaginal bleeding during pregnancy can be normal, especially in early pregnancy. [8] However, bleeding may also indicate a pregnancy complication that needs to be medically addressed. [8] During pregnancy bleeding is usually, but not always, related to the pregnancy itself.
Gal Gadot has revealed she had to undergo emergency brain surgery in February after doctors found a “massive” blood clot while she was pregnant with her fourth child.. The Wonder Woman actor ...
[35] [36] [37] Bleeding can be a symptom of miscarriage, but many women also have bleeding in early pregnancy and do not miscarry. [38] Bleeding during the first half of pregnancy may be referred to as a threatened miscarriage. [39] Of those who seek treatment for bleeding during pregnancy, about half will miscarry. [40]
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