In our last blog we discussed about one of the webinars that was taken by CrackingMRCOG as a webinar on “Postpartum Haemorrhage” which is the leading cause of maternal mortality.
Today, in this blog we will discuss about another important cause of maternal as well as foetal mortality “Antepartum Haemorrhage” (APH). It complicates about 2-5% of all the pregnancies due to the following causes such as:
• Placental causes (70-75%)
• Extra-placental causes (5%)
• Unexplained causes (20-25%)
Antepartum haemorrhage can be defined as the haemorrhage from the genital tract occurring from 24 weeks of gestation, but before the delivery the baby or during the delivery. The two important causes of antepartum haemorrhage include placenta praevia and placenta abruption. Placenta praevia is defined as the improper implantation of placenta in the lower segment of the uterus. It is basically of 4 main types:
Type 1: Placenta which is implanted in the lower uterine segment.
Type 2: Placenta does not in any way cover the cervical os, but it approaches the edge of the cervix and the placental edge lies less than or equal to 2.5 cm from the internal cervical os.
Type 3: The placenta partly covers the cervical os.
Type 4: The placenta completely covers the cervix and is centrally placed.
Placenta Abruptio occurs when a normally situated placenta pathologically seperates from the utrine attachment which causes bleeding from the opened sinuses present in the uterine myometrium. It is mainly of 3 types:
1. Concealed type
2. Revealed type
3. Mixed type
Proper investigations and management of different causes of APH help the healthcare provider to prevent APH and help the save the lives of mother as well as the foetus.
Today, in this blog we will discuss about another important cause of maternal as well as foetal mortality “Antepartum Haemorrhage” (APH). It complicates about 2-5% of all the pregnancies due to the following causes such as:
• Placental causes (70-75%)
• Extra-placental causes (5%)
• Unexplained causes (20-25%)
Antepartum haemorrhage can be defined as the haemorrhage from the genital tract occurring from 24 weeks of gestation, but before the delivery the baby or during the delivery. The two important causes of antepartum haemorrhage include placenta praevia and placenta abruption. Placenta praevia is defined as the improper implantation of placenta in the lower segment of the uterus. It is basically of 4 main types:
Type 1: Placenta which is implanted in the lower uterine segment.
Type 2: Placenta does not in any way cover the cervical os, but it approaches the edge of the cervix and the placental edge lies less than or equal to 2.5 cm from the internal cervical os.
Type 3: The placenta partly covers the cervical os.
Type 4: The placenta completely covers the cervix and is centrally placed.
Placenta Abruptio occurs when a normally situated placenta pathologically seperates from the utrine attachment which causes bleeding from the opened sinuses present in the uterine myometrium. It is mainly of 3 types:
1. Concealed type
2. Revealed type
3. Mixed type
Proper investigations and management of different causes of APH help the healthcare provider to prevent APH and help the save the lives of mother as well as the foetus.
For further information regarding the course, please visit our website www.crackingmrcog.com
For More Information:
Email: crackingmrcog@jaypeebrothers.com
Whatsapp: +91-9873886225
Website: www.crackingmrcog.com
© Jaypee Brothers Medical Publishers
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