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Clinical Approach to Pregnancy-Related Bleeding

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Bleeding During Pregnancy

Abstract

Vaginal bleeding is a common event during pregnancy. The incidence varies, ­ranging from 1 to 22% [1–3]. The source of bleeding is mostly maternal. The significance, initial diagnosis, and clinical approach to vaginal bleeding depend on the gestational age and the bleeding characteristics. Vaginal bleeding during early pregnancy is associated with a 1.6-fold increased risk of many adverse outcomes, including preterm labor (PTL) and preterm premature rupture of membranes (PPROM) [3]. As bleeding persists or recurs later in pregnancy, the risk of associated morbidities grows [4]. Although 50% of the women who suffer from vaginal bleeding during early pregnancy go on to have a normal pregnancy [3], vaginal bleeding in the second half of pregnancy is linked to perinatal mortality, disorders of the amniotic fluid, premature rupture of membranes (PROM), preterm deliveries, low birth weight, and low neonatal Apgar scores [1].

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Authors and Affiliations

  1. High Risk Pregnancy Unit, Department of Obstetrics and Gynecology, Hillel Yaffe Medical Center, Hadera, Israel

    Asnat Walfisch

  2. Faculty of Health Sciences, The Technion University Medical School, Haifa, Israel

    Asnat Walfisch

Authors
  1. Nardin Aslih
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  2. Asnat Walfisch
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Correspondence to Asnat Walfisch .

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Editors and Affiliations

  1. , Department of Ob/Gyn, Ben-Gurion University of the Negev, P.O. Box 151, Be'er-Sheva, 84841, Israel

    Eyal Sheiner

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Aslih, N., Walfisch, A. (2011). Clinical Approach to Pregnancy-Related Bleeding. In: Sheiner, E. (eds) Bleeding During Pregnancy. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-9810-1_1

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  • DOI: https://doi.org/10.1007/978-1-4419-9810-1_1

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