Ante-partum haemorrhage: An update
- 1 January 2008
- journal article
- review article
- Published by Taylor & Francis Ltd in Journal of Obstetrics and Gynaecology
- Vol. 28 (4), 377-381
- https://doi.org/10.1080/01443610802091487
Abstract
Ante-partum haemorrhage is an important cause of maternal and fetal morbidity and mortality, despite modern improvement in obstetric practice and transfusion service. It is defined as any vaginal bleeding from the 20th week of gestation till delivery. The initial management of ante-partum haemorrhage should concentrate on resuscitation and accurate diagnosis. The most important causes are placenta praevia and abruption accounting for more than half the cases. The numbers of cases of placenta praevia and placenta accreta are increasing with the increasing caesarean section rate. In many cases, it is not possible to make a definite diagnosis, despite all the investigations. Development of ultrasound especially transvaginal scan has helped in the definitive diagnosis and management of placenta praevia. Every unit should have a clear protocol for the management of massive haemorrhage, which should be regularly updated and rehearsed.Keywords
This publication has 29 references indexed in Scilit:
- Associations between 2 polymorphisms in the methylenetetrahydrofolate reductase gene and placental abruptionAmerican Journal of Obstetrics and Gynecology, 2007
- Uterine artery embolisation as an interval adjunct to conservative management of placenta praevia incretaJournal of Obstetrics and Gynaecology, 2007
- Placental edge to internal os distance in the late third trimester and mode of delivery in placenta praeviaBJOG: An International Journal of Obstetrics and Gynaecology, 2003
- Prenatal sonographic diagnosis of vasa previa: ultrasound findings and obstetric outcome in ten casesUltrasound in Obstetrics & Gynecology, 2001
- Prenatal diagnosis of placenta previa accreta by transabdominal color Doppler ultrasoundUltrasound in Obstetrics & Gynecology, 2000
- Pathology of the Human PlacentaPublished by Springer Science and Business Media LLC ,2000
- Placental Abruption and Adverse Perinatal OutcomesJama-Journal Of The American Medical Association, 1999
- Incidence of placental abruption in relation to cigarette smoking and hypertensive disorders during pregnancy: a meta-analysis of observational studiesPublished by Ovid Technologies (Wolters Kluwer Health) ,1999
- Effect of Maternal Age and Parity on the Risk of Uteroplacental Bleeding Disorders in PregnancyPublished by Ovid Technologies (Wolters Kluwer Health) ,1996
- The effect of tocolytic use in the management of symptomatic placenta previaAmerican Journal of Obstetrics and Gynecology, 1995