Vaginal Bleeding

Question 1

Differential of vaginal bleeding in pregnancy

Answer 1

First Trimester (<13w)

• ectopic (rare but most serious)
• early pregnancy loss
• implantation bleed
• reproductive tract pathology (polyp, STI, trauma, ECTROPION)

<20w

• cervical insufficiency
• ectopic pregnancy
• placental abruption

> 20w

• previa: placental or vasa
• abruption
• bloody show

Question 2

risk factors for placental abruption

Answer 2

• prior placental abruption
• smoking, cocaine use
• trauma
• HTN
• PPROM