Antepartum haemorrhage 1510069 212141978 2008-05-13T16:41:37Z 213.255.211.252 {{Infobox_Disease | Name = {{PAGENAME}} | Image = | Caption = | DiseasesDB = 0077 | ICD10 = {{ICD10|O|46||o|30}} | ICD9 = {{ICD9|641}} | ICDO = | OMIM = | MedlinePlus = | eMedicineSubj = | eMedicineTopic = | MeshID = }} In [[obstetrics]], '''antepartum haemorrhage''' ([[APH]]), also '''prepartum hemorrhage''', is bleeding from the [[vagina]] during [[pregnancy]] from twenty eight weeks [[gestational age]] to term. It should be considered a [[medical emergency]] (regardless of whether there is [[pain]]) and medical attention should be sought immediately, as if it is left untreated it can lead to [[death]] of the mother and/or [[fetus]]. It can be associated with reduced fetal birth weight.<ref name="pmid15512459">{{cite journal |author=Lam CM, Wong SF, Chow KM, Ho LC |title=Women with placenta praevia and antepartum haemorrhage have a worse outcome than those who do not bleed before delivery |journal=Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology |volume=20 |issue=1 |pages=27–31 |year=2000 |pmid=15512459 |doi=10.1080/01443610063417}}</ref> Bleeding without pain is most frequently [[bloody show]], which is benign; however, it may also be placenta previa (in which both the mother and fetus are in danger). Painful APH is most frequency placental abruption. ==Differential diagnosis of APH== * [[Bloody show]] (benign) - most common cause of APH * [[Placental abruption]] - most common [[pathology|pathological]] cause * [[Placenta previa]] - second most common pathological cause * [[Vasa previa]] - often difficult to diagnose, frequently leads to fetal demise * [[Uterine rupture]] * Bleeding from the lower genital tract ** Cervical bleeding - [[cervicitis]], [[cervical neoplasm]], [[cervical polyp]] ** Bleeding from the vagina itself - trauma, neoplasm * Bleeding that may be confused with vaginal bleeding ** [[GI bleed]] - [[hemorrhoids]], [[inflammatory bowel disease]] ** [[Urinary tract]] bleed - [[urinary tract infection]] ==References== <references/> ==See also== * [[Obstetrical hemorrhage]] ==External links== * {{GPnotebook|684720129}} {{Pathology of pregnancy, childbirth and the puerperium}} [[Category:Obstetrics]] [[fr:Hémorragie du troisième trimestre]]