gynecology and obstetrics
Vaginal Bleeding During Late Pregnancy
Treatment
Treatment of vaginal bleeding during late pregnancy is aimed at the specific cause. For Placental Abruption (Abruptio Placentae) or If Vasa Previa is diagnosed before labor starts, doctors schedule a cesarean delivery before labor starts, typically at 34 to 37 weeks of gestation. Bleeding from vasa previa is fetal blood and blood loss can be rapid and fatal to the fetus. If bleeding occurs and this is suspected as the cause, immediate cesarean delivery is performed. If the baby has lost a lot of blood, the baby may require a blood transfusion. If the uterus has ruptured, the baby is delivered immediately. The uterus is repaired surgically. Patients with signs of hypovolemia require IV fluid resuscitation, starting with 20 mL/kg of normal saline solution. Blood transfusion should be considered for patients who have any of the following: No response to 2 L of saline Abnormal vital signs or laboratory test results Continuing bleeding 