Ob Gy - abhijeetnakave

[ArchivalUser]

Only A or B. But can not B because P Previa= Vaginal bleeding WITHOUT contractions

[ArchivalUser]

i think abruption is more common than previa + pain ====] AAA

[ArchivalUser]

Damn, between all os us, usnt there an OBGYNE specialist, or even a girl who has been pregnant before?

[ArchivalUser]

abhijeetnakave! Thanks a lot! Please post more Qs. I believe you have an excellent memory.
Many Qs still retain in your mind today or untill tomorrow.

[ArchivalUser]

Placeta Previa

Unlike first trimester bleeding, second and third trimester bleeding is usually secondary to abnormal placental implantation

Vaginal bleeding
It is apt to occur suddenly during the third trimester.
Bleeding is usually bright red and painless. Some degree of uterine irritability is present in about 20% of the cases.
Initial bleeding is not usually profuse enough to cause death; it spontaneously ceases, only to recur later.
The first bleed occurs (on average) at 27-32 weeks' gestation.
Contractions may or may not occur simultaneously with the bleeding.

Abrutio

Patients usually present with the following symptoms:
Vaginal bleeding - 80%
Abdominal or back pain and uterine tenderness - 70%
Fetal distress - 60%
Abnormal uterine contractions (eg, hypertonic, high frequency) - 35%
Idiopathic premature labor - 25%
Fetal death - 15%
Physical: Placental abruption is mainly a clinical diagnosis based on findings of vaginal bleeding, abdominal pain, uterine tenderness, uterine contractions, and fetal distress. Severe uterine pain and tenderness with mild vaginal bleeding in a patient with hypertension (HTN) indicates placental abruption.

[ArchivalUser]

Placenta Previa

[ArchivalUser]

Thanks Darkhorse! It is an incomplete Q and PAIN is also important symptom.