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

Clinical Features
  • Vaginal bleeding
  • Uterine fundus palpable above umbilicus

Differential Diagnosis

Vaginal Bleeding in Pregnancy (>20wks)

Evaluation

Workup
  • Pregnancy test (urine or serum)
  • Hemoglobin (CBC or POC)
  • Consider type & screen

Management


Disposition


See Also

Vaginal bleeding (main)


References
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