LATE PREGNANCY
BLEEDING
Dr Tung’ani Muchiri
MBChB, MMed
Consultant Obstetrician/Gynaecologist
, DEFINITION OF APH
The term antepartum bleeding typically refers to vaginal bleed
after 20 weeks(viability)* of gestation that is unrelated to la
and delivery – UPTODATE
Antepartum haemorrhage (APH) is defined as bleeding from or
the genital tract, occurring from 24+0 weeks** of pregnancy
prior to the birth of the baby – RCOG
Vaginal bleeding during pregnancy usually presenting in the la
trimester of pregnancy – Kenya Guidelines
, APH: causes
Placenta previa
Placenta abruption
Uterine rupture
Vasa previa
Others that may not be immediately life threatening: Bloo
show, Cervicitis, Polyps, Ectropion
BLEEDING
Dr Tung’ani Muchiri
MBChB, MMed
Consultant Obstetrician/Gynaecologist
, DEFINITION OF APH
The term antepartum bleeding typically refers to vaginal bleed
after 20 weeks(viability)* of gestation that is unrelated to la
and delivery – UPTODATE
Antepartum haemorrhage (APH) is defined as bleeding from or
the genital tract, occurring from 24+0 weeks** of pregnancy
prior to the birth of the baby – RCOG
Vaginal bleeding during pregnancy usually presenting in the la
trimester of pregnancy – Kenya Guidelines
, APH: causes
Placenta previa
Placenta abruption
Uterine rupture
Vasa previa
Others that may not be immediately life threatening: Bloo
show, Cervicitis, Polyps, Ectropion
