Scribd Logo
Upload

Welcome to Scribd!

  • 187 views

    Differential Diagnosis of Third Trimester Bleeding

    Uploaded by

    Andre Chundawan
    This document discusses differential diagnosis of third trimester bleeding including placental abnormalities, cervical issues, and maternal coagulopathies. It compares the symptoms of placenta previa versus abruption placentae. Placenta previa causes painless bleeding while abruption causes painful bleeding. Diagnosis of disseminated intravascular coagulation is discussed along with typical coagulation changes seen in pregnancy such as increased fibrinogen and decreased platelet count and coagulation times.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd

    Differential Diagnosis of Third Trimester Bleeding

    Uploaded by

    Andre Chundawan
    187 views4 pages
    This document discusses differential diagnosis of third trimester bleeding including placental abnormalities, cervical issues, and maternal coagulopathies. It compares the symptoms of placenta previa versus abruption placentae. Placenta previa causes painless bleeding while abruption causes painful bleeding. Diagnosis of disseminated intravascular coagulation is discussed along with typical coagulation changes seen in pregnancy such as increased fibrinogen and decreased platelet count and coagulation times.

    Original Description:

    aaaa

    Copyright

    © © All Rights Reserved

    Available Formats

    PPTX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document discusses differential diagnosis of third trimester bleeding including placental abnormalities, cervical issues, and maternal coagulopathies. It compares the symptoms of placenta previa versus abruption placentae. Placenta previa causes painless bleeding while abruption causes painful bleeding. Diagnosis of disseminated intravascular coagulation is discussed along with typical coagulation changes seen in pregnancy such as increased fibrinogen and decreased platelet count and coagulation times.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    187 views4 pages

    Differential Diagnosis of Third Trimester Bleeding

    Uploaded by

    Andre Chundawan
    This document discusses differential diagnosis of third trimester bleeding including placental abnormalities, cervical issues, and maternal coagulopathies. It compares the symptoms of placenta previa versus abruption placentae. Placenta previa causes painless bleeding while abruption causes painful bleeding. Diagnosis of disseminated intravascular coagulation is discussed along with typical coagulation changes seen in pregnancy such as increased fibrinogen and decreased platelet count and coagulation times.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 4

    Differential Diagnosis of Third

    Trimester Bleeding
    1.
    2.
    3.
    4.
    5.
    6.

    Blood Show
    A Bruntio placenta
    Placenta previa
    Visa previa
    Uterine rupture
    Cervical pathology
    - Polyps
    - Carcinoma
    - varicositis
    7. Maternal coagulopathy
    - Pre eclampsia
    - Intra uterine demise
    - other causes of coagulopathy

    Placenta Previa Versus Abruptio


    Placentae
    Placenta Previa

    Abruptio Placenta

    Pain

    Painless Bleeding

    Pain Fula Bleeding

    Blood

    Bright Red

    Portwne

    Clotting

    Yes

    No

    Blood loss

    Obvious

    Conceales behind the


    placenta

    DIC

    Rare

    Possioility

    Diagnosis

    Confirmed by
    Ultrasound

    Clinical and
    ultrasound

    Diagnosis of Dessminated
    Intravascular coagulopathy
    Clinical Suspicions
    - Pregnancy
    - Non-Clotting Blood
    - In ability to control hemorrhage
    Laboratory
    - Prolonged PT / PTT
    - Low Fibrinogen level
    - low platelet count
    - Presence of fibrin degradation products

    Coagulation Changes of
    Pregnancy
    Increased factor level
    - Fibrinogen
    - Faktor V,VII, VII, IX, X, XII
    - Fibrin split products Von Willebrand Factor
    No change
    - Factor XI
    - Antithrombin III
    - Platelet count
    Decrease
    - Factor XIII
    - Platelet count
    - PT
    - PTT

    You might also like