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Causes of Vaginal Bleeding

Horizontales
Recreational drug that increases risk of placental abruption. Acts by inhibiting synaptic monoamine reuptake (serotonin, dopamine, norepinephrine, epinephrine), causing euphoria.
An emergency condition in which severe blood or other fluid loss makes the heart unable to pump enough blood to the body.
Vasa Previa - Condition in which the fetal vessels are located in the membranes near the internal os of the cervix, putting them at risk of injury if the membranes rupture. 2 of these run inside the umbilical cord.
Highest risk factor for Placental Abruption, indicated by a Systolic BP >140 mmHG
Typically caused by sexual intercourse. Results in bruising and tender upon examination of the cervix.
XXX is the tearing of the amniotic sac followed by the release of the amniotic fluid and typically occurs spontaneously during the first stage of labour.
Sometimes the bleed isn't expelled via the vaginal and forms a X. This is why you must always overestimate blood lost.
NICE Guideline first approach to Ultrasound imaging when bleeding occurs in the 3rd Trimester.
X pregnancy. This is a major risk factor for Placenta Previa and is defined as a mother aged greater than 35.
Up to 34 weeks pregnancy, these may be administered to the mother to induce foetal lung maturation if premature labour occurs.
X acid. Antifibrinolytic
Verticales
The delivery of a newborn through a vertical or horizontal incision in the lower abdominal and uterine wall.
Bloody X - A small amount of blood or blood-tinged mucus that is usually passed prior to labour or in early labour.
Lower edge of the placenta lies less than 2 cm from the internal cervical os
A premature separation of a normally implanted placenta before the delivery of the fetus.
The process of slowing cervical dilation by administering medications, which decrease uterine contractions, thereby delaying labour. Eg: Nifedipine
If bleeding cannot be managed postpartum, this medical procedure may have to be performed.
A term used to describe the characteristic changes in the fetal heart rate (FHR) in response to fetal hypoxia and metabolic acidosis (usually secondary to placental insufficiency).
Sudden onset of pain during Labour. Higher Risk to occur after a previous Cesarean
Serious risk factor for placental abruption, new-onset gestational hypertension with proteinuria or end-organ dysfunction. Becomes a life threatening condition with the onset of seizures
A mother who has carried 2 or more foetus past the point of viability.
Placenta X - that covers the internal os either partially or completely