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DEFINITION
 Bleeding from the genital tract after
the 28th week of pregnancy and before
delivery.
ETIOLOGY…..
Abruptio placentae
Placenta previa
Circumvallate placenta
Rupture of marginal sinus of placenta
Vasa previa
• Condition when a hemorrhage occurs as
a result of premature separation of the
normally situated placenta
ETIOLOGY
PATHOLOGY…..
VASOSPASM RELAXATION
VENOUS
ENGORGEMENT
PLACENTAL
SEPERATION
ARTERIOLA
R RUPTURE
TYPES:
CONCEALED
REVEALED
MIXED
CONCEALED
 Collection of blood behind the placenta as a
retro placental clot
 Placenta is completely separated but the
membranes retain their attachment to the
uterine wall
 Blood enter the amniotic cavity
REVEALED….
Blood
collected
Dissecting
under the
membranes
Seen
externally if it
ruptures
MIXED
• PLACENTA PREVIA
• ACUTE
HYDRAMNIOS
• RUPTURE
UTERUS
• OTHER ABDOMINAL
EMERGENCIES
Antepartum hemorrhage

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Antepartum hemorrhage