Resumo
Definição
História e exame físico
Principais fatores diagnósticos
- vaginal bleeding
- abdominal pain
- uterine contractions
- uterine tenderness
Outros fatores diagnósticos
- lower back pain
- fetal death
Fatores de risco
- chronic hypertension
- preeclampsia
- smoking
- cocaine use
- trauma
- prior cesarean delivery
- preterm premature rupture of the membranes
- multiparity
- advanced maternal age
- polyhydramnios
- chorioamnionitis
- uterine malformations
- prior placental abruption
- multifetal gestations
- oligohydramnios
- uterine leiomyomas
- thrombophilias
Investigações diagnósticas
Primeiras investigações a serem solicitadas
- fetal monitoring
- Hb and hematocrit
- coagulation studies
- Kleihauer-Betke (K-B) test
- ultrasound
Investigações a serem consideradas
- placental pathology
Algoritmo de tratamento
all patients
live fetus: >34 weeks
live fetus: ≤34 weeks
fetal demise
Colaboradores
Autores
Yinka Oyelese, MD, FACOG

Director, Obstetric Imaging
Beth Israel Deaconess Medical Center
Harvard Medical School
Boston
MA
Declarações
YO is an author of a number of references cited in this topic.
Anthony M. Vintzileos, MD, FACOG

Chairman
Department of Obstetrics and Gynecology
Winthrop University Hospital
Mineola
Professor
Obstetrics, Gynecology, and Reproductive Medicine
Stony Brook School of Medicine
Stony Brook
NY
Declarações
AMV declares that he has no competing interests.
Revisores
Christopher Glantz, MD, MPH
Professor of Obstetrics and Gynecology
University of Rochester School of Medicine
Rochester
New York
NY
Раскрытие информации
CG declares that he has no competing interests.
Austin Ugwumadu, PhD, FRCOG
Consultant/Senior Lecturer in Obstetrics and Gynaecology
St George's Hospital
London
UK
Раскрытие информации
AU declares that he has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
Список литературы
Основные статьи
American College of Radiology. ACR appropriateness criteria: second and third trimester bleeding. 2020 [internet publication].Полный текст
Society for Maternal-Fetal Medicine (SMFM), Gyamfi-Bannerman C. Society for Maternal-Fetal Medicine (SMFM) Consult Series #44: Management of bleeding in the late preterm period. Am J Obstet Gynecol. 2018 Jan;218(1):B2-8.Полный текст Аннотация
Статьи, указанные как источники
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Отличия
- Preterm labor
- Placenta previa
- Chorioamnionitis
Больше ОтличияРекомендации
- ACR appropriateness criteria: second and third trimester vaginal bleeding
- Society for Maternal-Fetal Medicine (SMFM) Consult Series #44: Management of bleeding in the late preterm period
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