obstetrics, antepartum haemorrhage ( APH), also prepartum hemorrhage, is bleeding from the vaginaduring pregnancyfrom twenty four weeks gestational ageto term.
It should be considered a
medical emergency(regardless of whether there is pain) and medical attention should be sought immediately, as if it is left untreated it can lead to deathof the mother and/or fetus.
It can be associated with reduced fetal birth weight.cite journal |author=Lam CM, Wong SF, Chow KM, Ho LC |title=Women with placenta praevia and antepartum haemorrhage have a worse outcome than those who do not bleed before delivery |journal=Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology |volume=20 |issue=1 |pages=27–31 |year=2000 |pmid=15512459 |doi=10.1080/01443610063417]
Bleeding without pain is most frequently
bloody show, which is benign; however, it may also be placenta previa (in which both the mother and fetus are in danger). Painful APH is most frequency placental abruption.
Differential diagnosis of APH
Bloody show(benign) - most common cause of APH
Placental abruption- most common pathological cause
Placenta previa- second most common pathological cause
Vasa previa- often difficult to diagnose, frequently leads to fetal demise
* Bleeding from the lower genital tract
** Cervical bleeding -
cervicitis, cervical neoplasm, cervical polyp
** Bleeding from the vagina itself - trauma, neoplasm
* Bleeding that may be confused with vaginal bleeding
GI bleed- hemorrhoids, inflammatory bowel disease
Urinary tractbleed - urinary tract infection
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Look at other dictionaries:
antepartum haemorrhage — bleeding from the genital tract after the 24th week of pregnancy until the birth of the baby … Medical dictionary
antepartum haemorrhage — bleeding from the genital tract after the 22nd week of pregnancy until the birth of the baby. Dangerous causes include abruptio placentae and placenta praevia … The new mediacal dictionary
Геморрагия Дородовая (Antepartum Haemorrhage) — кровяные выделения из половых путей после 24 й недели беременности до момента рождения ребенка. Источник: Медицинский словарь … Медицинские термины
ГЕМОРРАГИЯ ДОРОДОВАЯ — (antepartum haemorrhage) кровяные выделения из половых путей после 24 й недели беременности до момента рождения ребенка … Толковый словарь по медицине
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Placenta praevia — (placenta previa AE) is an obstetric complication in which the placenta has attached to the uterine wall close to or covering the cervix [http://www.uabhealth.org/15407/] . It can some times occur in the latter part of the first trimester, but… … Wikipedia
APH — may refer to:* A. P. Herbert, a British writer * A.P. Hill Army Airfield, from its IATA airport code * Australian Parliament House * Antepartum haemorrhage … Wikipedia
Bloody show — is the passage of a small amount of blood or blood tinged mucus through the vagina near the end of pregnancy. It can occur just before labor or in early labor as the cervix changes shape, freeing mucus and blood that occupied the cervical glands… … Wikipedia
Caesarean section — a surgical operation for delivering a baby through the abdominal wall. The operation most commonly performed is lower uterine segment Caesarean section (LUSCS), carried out through an incision (usually transverse) in the lower segment of the… … Medical dictionary
APH — abbr. AntePartum Haemorrhage … Dictionary of abbreviations