Vaginal bleeding in pregnancy (greater than 20wks)

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)

• Emergent delivery
• Placental abruption
• Placenta previa
• Vasa previa
• Uterine rupture
• Preterm labor
• Vaginal trauma
• Placenta accreta
• Intrauterine fetal demise

See Also

• Normal Labor and Delivery

See Also

Vaginal Bleeding (Main)