Antepartum haemorrhage

Antepartum haemorrhage (APH) is defined as bleeding from, or into, the genital tract, occurring from 24+0 weeks of pregnancy and prior to delivery. It complicates 3 –5% of pregnancies but is seen in up to 20% of very preterm deliveries, and an association with cerebral palsy. MBBRACE -UK 2019 reported that 8% of UK maternal deaths occurred secondary to bleeding (APH&PPH) in pregnancy during the triennium 2015 –2017. The high prevalence and the associated perinatal and maternal mortality and morbidity, demands a thorough understanding of APH and this review considers the most common causes of APH (placenta praevia, placental abruption and local causes), together with their management, using a case-based approach.
Source: Obstetrics, Gynaecology and Reproductive Medicine - Category: OBGYN Authors: Tags: Case-based learning Source Type: research