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Vaginal bleeding in pregnancy (greater than 20wks)
From WikEM
Contents
Background
- Do NOT perform digital exam in patients who present with vaginal bleeding when >20 weeks pregnant
- Only 20% of miscarriages occur after the first trimester
Differential Diagnosis
Vaginal Bleeding in Pregnancy (>20wks)
- Placental abruption
- Placenta previa
- Vasa previa
- Uterine rupture
- Preterm labor
- Vaginal trauma
- Placenta accreta
- Intrauterine fetal demise
See Also
References
