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Abstract

Hemorrhage during late pregnancy and peripartum

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Hemorrhage in the third trimester is one of the leading causes of maternal death. The major causes of hemorrhage are placenta previa and abruptio of the placenta. Beside clinical symptoms the diagnosis is confirmed by sonography. In placenta previa the placenta is implanted in the lower uterine segment and covers the internal cervical os. The incidence of placenta previa is increased by advancing maternal age, multiparity and previous caesarean delivery. Premature abruptio of the placenta is defined as separation from the site of uterine implantation before delivery of the fetus. Predisposing factors are preeclampsia, advanced maternal age and trauma. Signs and symptoms of acute blood loss must be quickly noted and requires immediate treatment. Rapid diagnosis and immediate therapy are the prerequisites for the survival of the patient.

CME Prakt Fortbild Gynakol Geburtsmed Gynakol Endokrinol 2016; 12(2): 144–157

Keywords
Hemorrhage, placenta previa, maternal death, premature abruptio of placenta

Franz Kainer
Klinik Hallerwiese, Abteilung für Geburtshilfe
und Pränatalmedizin, Nürnberg
Reviewer: Michael Butterwegge, Bremen,
und Stephan Henschen, Schwerin

Kainer F. Blutungen ... Gynakol Geburtsmed Gynakol Endokrinol 2016; 12(2): 144–157 publiziert 31.7.2016 www.akademos.de/gyn ©akademos Wissenschaftsverlag 2016 ISSN 1614-8533