Bedside
Rounds

Case #161OB-GYN

Sudden Painless Heavy Bleeding in Late Pregnancy

Sudden Painless Heavy Bleeding in Late Pregnancy
At a glance
HR 122 bpm BP 88/52 SpO2 96% Obstetric Ultrasound: Placenta completely covering internal cervical os

"32F at 34wks with painless bright red bleeding & shock."

Patient History

A 32-year-old Female Homemaker presents with sudden gush of bright red blood from below while resting at home, soaking through three pads in under an hour, now feeling very dizzy and weak at 34 weeks pregnant. About one hour ago.

Clinical Examination & Labs

I was lying down watching television and suddenly felt a gush of warm fluid.

Diagnostic Management Pathway

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