Bleeding from the vagina before labour.
The occurrence of vaginal bleeding beyond the 28th week of pregnancy is a matter of concern.
Antepartum hemorrhage, characterized by vaginal bleeding during pregnancy after the 28th week, is commonly attributed to placental complications. These complications may include placenta previa, where the placenta is located near the birth canal, or placental abruption, which involves the detachment of a portion of the placenta from the uterine wall. In addition to placental issues, bleeding can also be caused by cervical erosion or other disorders affecting the cervix or vagina.
The bleeding associated with antepartum hemorrhage is typically devoid of pain. However, if the placenta experiences partial separation from the uterus, abdominal pain may accompany the bleeding.
When it comes to investigating and treating antepartum hemorrhage, hospital admission is usually required. Ultrasound scanning is employed as a diagnostic tool to identify any issues related to the placenta. Depending on the severity of the condition, close monitoring of the woman and her baby may be sufficient. In cases of severe bleeding, a blood transfusion may be administered to the woman, and if necessary, the baby may be delivered promptly through a cesarean section.