Differential diagnosis for PV bleeding in pregnancy
Last revised by Dr Jeremy Jones ◉ on 20 Sep 2021
Citation, DOI and article data
Citation:
Stanislavsky, A., Jones, J. Differential diagnosis for PV bleeding in pregnancy. Reference article, Radiopaedia.org. (accessed on 22 Oct 2021) https://doi.org/10.53347/rID-13290
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rID:
13290
Article created:
24 Mar 2011 by Dr Alexandra Stanislavsky ◉
Revisions:
27 times by 9 users - see full revision history
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Section:
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Synonyms:
- Differential diagnosis for uterine bleeding in pregnancy
- Causes of bleeding in pregnancy
- Uterine bleeding in pregnancy
- Bleeding during pregnancy
- Differential diagnosis for haemorrhage in pregnancy
Per vaginal (PV) bleeding during pregnancy is a common clinical presentation that often necessitates obstetric ultrasound for the assessment of the hemorrhage, and of fetal well being.
The potential causes vary with the stage of gestation.
Bleeding in the first trimester
-
miscarriage
- threatened miscarriage: with or without identifiable subchorionic hemorrhage
- missed miscarriage
- incomplete miscarriage
- subchorionic hemorrhage
- retained products of conception
- ectopic pregnancy
- gestational trophoblastic disease
- demise of a twin
- implantation bleeding
Bleeding in second and third trimesters
See also
References
- 1. Chudleigh P, Thilaganathan B. Obstetric ultrasound, how, why and when. Churchill Livingstone. (2004) ISBN:0443054711. Read it at Google Books - Find it at Amazon
- 2. Sakornbut E, Leeman L, Fontaine P. Late pregnancy bleeding. Am Fam Physician. 2007;75 (8): 1199-206. Am Fam Physician (link) - Pubmed citation
- 3. Trop I, Levine D. Hemorrhage during pregnancy: sonography and MR imaging. AJR Am J Roentgenol. 2001;176 (3): 607-15. AJR Am J Roentgenol (full text) - Pubmed citation
- 4. Maso G, D'ottavio G, De seta F et-al. First-trimester intrauterine hematoma and outcome of pregnancy. Obstet Gynecol. 2005;105 (2): 339-44. doi:10.1097/01.AOG.0000152000.71369.bd - Pubmed citation
- 5. Dogra V, Paspulati RM, Bhatt S. First trimester bleeding evaluation. (2005) Ultrasound quarterly. 21 (2): 69-85; quiz 149-50, 153-4. Pubmed
- 6. Dighe M, Cuevas C, Moshiri M, Dubinsky T, Dogra VS. Sonography in first trimester bleeding. (2008) Journal of clinical ultrasound : JCU. 36 (6): 352-66. doi:10.1002/jcu.20451 - Pubmed
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first trimester
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- early structural scan
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first trimester
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