Vaginal hemmorage

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Some disorders can cause substantial blood loss, occasionally enough to cause hemorrhagic shock or disseminated intravascular coagulation. Bloody show heralds onset of labor, is scant and mixed with mucus, and results from tearing of small veins as the cervix dilates and effaces at the start of labor. Abruptio placentae placental abruption.

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Menstruation, or period, is a woman's monthly bleeding. Abnormal vaginal bleeding is different from normal menstrual periods. It could be bleeding that is between periods, is very heavy, or lasts much longer than usual.

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Abnormal vaginal bleeding occurs between menstrual periods, after sex, or after menopause. Menstrual periods that are heavier or last longer than usual or last more than seven days also are considered abnormal. Your doctor will likely perform a physical and pelvic exam and may test your blood, hormone levels and thyroid function to determine if you are pregnant or infected with a sexually transmitted disease.

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Postpartum hemorrhage is more bleeding than normal after the birth of a baby. It is more likely with a cesarean birth. After the placenta is delivered, these contractions help put pressure on the bleeding vessels in the area where the placenta was attached.

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Most people experience bleeding immediately following the procedure and for several weeks afterward. It should get lighter with time. You should discuss any abnormal signs of bleeding with your doctor right away.

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Hemorrhage after induced abortion is rare, occurring in per 1, cases following medical abortion up to 9 weeks gestation or vacuum aspiration before 13 weeks gestation, and 0. When postabortion hemorrhage is suspected, clinicians should take a rapid, systematic approach to assessing and treating women. Initial assessment includes inspection of the cervix for laceration, bimanual examination to assess for uterine atony and tenderness, and uterine aspiration or ultrasound examination to evaluate for retained products of conception or blood.

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Gynecologic hemorrhage represents excessive bleeding of the female reproductive system. Such bleeding could be visible or external, namely bleeding from the vaginaor it could be internal into the pelvic cavity or form a hematoma. Normal menstruation is not considered a gynecologic hemorrhage, as it is not excessive.

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Jayne Kennedy, a year-old, gravida 2, para 2, is admitted to the emergency department with heavy vaginal bleeding. Her only notable medical history is dietary-controlled gestational diabetes mellitus GDMwhich occurred during both pregnancies. Scenarios like this happen more often than you might think.

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A more recent article on postpartum hemorrhage is available. Abstract Prevention Diagnosis and Management Clinical Approach References Article Sections Abstract Prevention Diagnosis and Management Clinical Approach References Postpartum hemorrhage, the loss of more than mL of blood after delivery, occurs in up to 18 percent of births and is the most common maternal morbidity in developed countries. Although risk factors and preventive strategies are clearly documented, not all cases are expected or avoidable.

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Demeaning patient behavior takes emotional toll on physicians. Michael L. Robert B. Recombinant factor VIIa can help control hemorrhage even in the presence of dilutional or consumptive coagulopathy.

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