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Chapter-35 Third Trimester Bleeding

BOOK TITLE: A Comprehensive Textbook of Obstetrics & Gynecology

Author
1. Gupta Sadhana
ISBN
9789350251126
DOI
10.5005/jp/books/11278_34
Edition
1/e
Publishing Year
2011
Pages
12
Author Affiliations
1. Ultrasound, Infertility and In Vitro Fertilization (IVF) Specialist, Jeevan Jyoti Hospital, Gorakhpur, Uttar Pradesh, India, Gorakhpur, Uttar Pradesh, Bombay Hospital, Mumbai, Jeevan Jyoti Hospital and Medical Research Center and Jeevan Jyoti Test Tube Baby Center, Gorakhpur, UP, India, Jeevan Jyoti Hospital and Medical Research Center, Jeevan Jyoti Test Tube Baby Center, Gorakhpur, UP, India, Jeevan Jyoti Hospital and Medical Research Centre, Gorakhpur, Uttar Pradesh, India, FOGSI 2011–2013; Jeevan Jyoti Hospital and Medical Research Center, Gorakhpur, Uttar Pradesh, India, Jeevan Jyoti Hospital and Medical Research Center, Jeevan Jyoti Test Tube Baby Center, Gorakhpur, Uttar Pradesh, India, Jeevan-Jyoti Hospital, Gorakhpur, Uttar Pradesh, India, Jeevan Jyoti Hospital and Medical Research Centre, Gorakhpur, Uttar Pradesh, India; FOGSI 2016, Jeeevan Jyoti Hospital and Medical Research Centre, Gorakhpur, Uttar Pradesh, India, FOGSI, 2016, FOGSI Representative to SAFOG, 2018-20; Safe Motherhood Committee, FOG
Chapter keywords

Abstract

Antepartum hemorrhage is one of the leading causes of maternal and perinatal morbidity and mortality. Placenta previa and abruptio placenta are two most common causes of APH. Etiology, classification, clinical presentations, diagnostic modalities and management protocol of low lying placenta are well illustrated in the chapter. Vasa previa is uncommon but potentially dangerous complication. High suspicion and prompt cesarean is key to management. Abruptio placenta is premature separation of normally situated placenta which can cause revealed or concealed hemorrhage. Risk factors, diagnosis, complications and management of abruptio are described in the chapter. Rupture uterus is one of the dreaded complications of labor which can be spontaneous, iatrogenic or caused by scar dehiscence. Prompt diagnosis, immediate laparotomy with supportive measures save the mother.

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