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Obstetrical bleeding

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physiological drop in maternal clotting factors after delivery which greatly increases the risk of secondary postpartum hemorrhage. Another bleeding risk factor is thrombocytopenia, or decreased platelet levels, which is the most common hematological change associated with pregnancy induced hypertension. If platelet counts drop less than 100,000 per microliter the patient will be at a severe risk for inability to clot during and after delivery.
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Other considerations to include when assessing antepartum bleeding are: sterile vaginal exams that are performed in order to assess dilation of the patient when the 40th week is approaching. As well as cervical insufficiency defined as a midtrimester (14th-26th week) dilation of the cervix which may
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Abnormal bleeding after delivery, or postpartum hemorrhage, is the loss of greater than 500 ml of blood following vaginal delivery, or 1000 ml of blood following cesarean section. Other definitions of excessive postpartum bleeding are hemodynamic instability, drop of hemoglobin of more than 10%, or
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where the fetal blood vessels lie near the placental insertion site unprotected by Wharton's jelly of the cord. Occasionally this condition can be diagnosed by ultrasound. There are also tests to differentiate maternal blood from fetal blood which can help in determining the source of the bleed.
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Wang, Haidong; Naghavi, Mohsen; Allen, Christine; Barber, Ryan M.; Bhutta, Zulfiqar A.; Carter, Austin; Casey, Daniel C.; Charlson, Fiona J.; Chen, Alan Zian; Coates, Matthew M.; Coggeshall, Megan; Dandona, Lalit; Dicker, Daniel J.; Erskine, Holly E.; Ferrari, Alize J.; Fitzmaurice, Christina;
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deficiency, may cause severe postpartum hemorrhage, with an increased risk of death particularly in the postpartum period. The risk of postpartum hemorrhage in patients with vWD and carriers of hemophilia has been found to be 18.5% and 22% respectively. This pathology occurs due to the normal
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Vos, Theo; Allen, Christine; Arora, Megha; Barber, Ryan M.; Bhutta, Zulfiqar A.; Brown, Alexandria; Carter, Austin; Casey, Daniel C.; Charlson, Fiona J.; Chen, Alan Z.; Coggeshall, Megan; Cornaby, Leslie; Dandona, Lalit; Dicker, Daniel J.; Dilegge, Tina; Erskine, Holly E.; Ferrari, Alize J.;
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Foreman, Kyle; Forouzanfar, Mohammad H.; Fraser, Maya S.; Fullman, Nancy; Gething, Peter W.; Goldberg, Ellen M.; Graetz, Nicholas; Haagsma, Juanita A.; Hay, Simon I.; Huynh, Chantal; Johnson, Catherine O.; Kassebaum, Nicholas J.; Kinfu, Yohannes; et al. (October 2016).
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Fitzmaurice, Christina; Fleming, Tom; Forouzanfar, Mohammad H.; Fullman, Nancy; Gething, Peter W.; Goldberg, Ellen M.; Graetz, Nicholas; Haagsma, Juanita A.; Hay, Simon I.; Johnson, Catherine O.; Kassebaum, Nicholas J.; Kawashima, Toana; et al. (October 2016).
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requiring blood transfusion. In the literature, primary postpartum hemorrhage is defined as uncontrolled bleeding that occurs in the first 24 hours after delivery while secondary hemorrhage occurs between 24 hours and six weeks.
157:(in which there is premature separation of the placenta) can lead to obstetrical hemorrhage, sometimes concealed. This pathology is of important consideration after maternal trauma such as a motor vehicle accident or fall. 296:) is a type of pregnancy where the sperm and the egg have joined within the uterus, but the result is a cyst resembling a grape-like cluster rather than an embryo. Bleeding can be an early sign of this tumor developing. 2231: 952: 933: 2035: 413:"Global, regional, and national life expectancy, all-cause mortality, and cause-specific mortality for 249 causes of death, 1980-2015: a systematic analysis for the Global Burden of Disease Study 2015" 86:. Bleeding before childbirth is that which occurs after 24 weeks of pregnancy. Bleeding may be vaginal or less commonly into the abdominal cavity. Bleeding which occurs before 24 weeks is known as 360:"Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015" 149:
which is a low lying placenta at or very near to the internal cervical os. This condition occurs in roughly 4 out of 1000 pregnancies and usually needs to be resolved by delivering the baby via
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Global burden of maternal haemorrhage in the year 2000 Carmen Dolea1, Carla AbouZahr2, Claudia Stein1 Evidence and Information for Policy (EIP), World Health Organization, Geneva, July 2003
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About 8.7 million cases of severe maternal bleeding occurred in 2015 resulting in 83,000 deaths. Between 2003 and 2009, bleeding accounted for 27% of maternal deaths globally.
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Say, Lale; Chou, Doris; Gemmill, Alison; Tunçalp, Özge; Moller, Ann-Beth; Daniels, Jane; Gülmezoglu, A Metin; Temmerman, Marleen; Alkema, Leontine (2014).
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A quantitative human chorionic gonadotropin (hCG) blood test to confirm the pregnancy or assist in diagnosing a potential miscarriage
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Pregnant patients may have bleeding from the reproductive tract due to trauma, including sexual trauma, neoplasm, most commonly
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Kadir RA, Aledort LM (October 2000). "Obstetrical and gynaecological bleeding: a common presenting symptom".
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can occur, which is a very serious condition leading to internal or external bleeding. Bleeding from the
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Atukunda EC, Mugyenyi GR, Obua C, Atuhumuza EB, Musinguzi N, Tornes YF, Agaba AG, Siedner MJ (2016).
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Transvaginal pelvic ultrasonography to confirm that the pregnancy is not outside of the uterus
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Maternal bleeding, obstetrical hemorrhage, obstetric haemorrhage, maternal hemorrhage
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If a small amount of bleeding is seen in early pregnancy a physician may request:
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The Convention on the Elimination of All Forms of Discrimination against Women
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up to the birth of the baby. The primary consideration is the presence of a
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need medical intervention to assist in keeping the pregnancy sustainable.
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Soyama H, Miyamoto M, Ishibashi H, Takano M, Sasa H, Furuya K (2016).
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Charles J Lockwood, MD, MHCM, Karen Russo-Stieglitz, MD (July 2017).
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Bleeding in pregnancy that occurs before, during, or after childbirth
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Knowledge's health care articles can be viewed offline with the
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Physiology in Childbearing: With Anatomy and Related Biosciences
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patient.info » PatientPlus » Antepartum Haemorrhage
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Pruritic urticarial papules and plaques of pregnancy (PUPPP)
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Declaration on the elimination of violence against women
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For bleeding seen in later pregnancy tests may include:
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Causes of bleeding before and during childbirth include
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The Royal Women’s Hospital > antepartum haemorrhage
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Walfish, M.; Neuman, A.; Wlody, D. (December 2009).
356: 466: 275:(KB) test especially if there was maternal trauma 217:In rare cases, inherited bleeding disorders, like 185:is rare, but may occur with two conditions called 2825:Childbirth-related post-traumatic stress disorder 1023: 3899: 331:"ICD-11 for Mortality and Morbidity Statistics" 109:. Causes of bleeding after childbirth include 2956: 2225: 1009: 865: 863: 861: 859: 857: 855: 689: 510: 2970: 798: 792: 721: 352: 350: 624: 506: 504: 405: 403: 269:Ultrasound to determine placental location 2963: 2949: 2232: 2218: 2092:International Center for Research on Women 1016: 1002: 869: 852: 531: 872:"Vaginal bleeding during early pregnancy" 763: 753: 666: 656: 565: 555: 517:. Elsevier Health Sciences. p. 429. 484: 462: 460: 458: 456: 436: 383: 347: 323: 501: 400: 511:Stables, Dorothy; Rankin, Jean (2010). 3900: 888: 833: 453: 2944: 2463:Intrahepatic cholestasis of pregnancy 2430:Intrahepatic cholestasis of pregnancy 2213: 1811: 997: 785: 783: 690:Berghella, MD, Vincenzo (July 2017). 279: 3913:Complications of labour and delivery 2529:Pregnancy-induced hypercoagulability 2180: 2074:Office of Research on Women's Health 595: 593: 191:velamentous umbilical cord insertion 3795:Psychiatric disorders of childbirth 2192: 2112:Society for Women's Health Research 2046:International Day of the Girl Child 801:Clinical and Laboratory Haematology 252:Blood type and Rh test to rule out 13: 2478:Pruritic folliculitis of pregnancy 2156:Birth control in the United States 870:Heine PR, Swamy GK (August 2009). 807:(Suppl 1): 12–6, discussion 30–2. 780: 127: 14: 3939: 2736:Pain management during childbirth 2663:Twin-to-twin transfusion syndrome 2051:Commission on the Status of Women 1061:External female genitalia (vulva) 911: 590: 197: 3800:Postpartum physiological changes 3500:Postpartum physiological changes 3025:Assisted reproductive technology 2922: 2921: 2908:Sexual activity during pregnancy 2191: 2179: 2168: 2167: 1384:Assisted reproductive technology 1024: 979: 813:10.1046/j.1365-2257.2000.00007.x 311:Non-pneumatic anti-shock garment 254:hemolytic disease of the newborn 237: 3852:Adaptation to extrauterine life 1350:Breastfeeding and mental health 882: 827: 702: 683: 292:. Molar pregnancy (also called 212: 164: 115:retained products of conception 3495:Maternal physiological changes 2410:Acute fatty liver of pregnancy 891:Pregnancy and birth sourcebook 836:Pregnancy and birth sourcebook 605: 473:British Journal of Anaesthesia 111:poor contraction of the uterus 1: 3050:partner-assisted reproduction 2612:Prelabor rupture of membranes 2000:Social determinants of health 557:10.1016/S2214-109X(14)70227-X 429:10.1016/S0140-6736(16)31012-1 376:10.1016/S0140-6736(16)31678-6 316: 2891:Systemic lupus erythematosus 2542:Maternal care related to the 2524:Gestational thrombocytopenia 1995:Gender disparities in health 1333:Mother-to-child transmission 755:10.1371/journal.pone.0152408 658:10.1371/journal.pone.0167332 7: 3286:Traditional birth attendant 2692:Cephalopelvic disproportion 1608:Pelvic inflammatory disease 1551:Hormone replacement therapy 1115:Reproductive system disease 889:Aldred, Heather E. (1997). 838:. health reference series. 834:Aldred, Heather E. (1997). 299: 10: 3944: 3918:Health issues in pregnancy 3518:Brain health and pollution 2803:Breastfeeding difficulties 2602:Constriction ring syndrome 2576:Braxton Hicks contractions 2102:Black Women's Health Study 1169:Complications of pregnancy 266:and blood type and screen 264:Complete blood count (CBC) 201: 131: 3879: 3844: 3808: 3762: 3753: 3731:Chorionic villus sampling 3713: 3508: 3465: 3434: 3427: 3294: 3219: 3188: 3179: 3113: 3083:Obstetric ultrasonography 3070: 3015: 3007:Pre-conception counseling 2982: 2916: 2873: 2840:Peripartum cardiomyopathy 2830:Pubic symphysis diastasis 2793: 2677: 2541: 2514: 2496: 2438: 2400: 2391: 2347: 2265: 2256: 2163: 2120: 2079:Women's Health Initiative 2064: 2026: 2017: 1966: 1932:Major depressive disorder 1800: 1760:Intimate partner violence 1722: 1621:Female genital mutilation 1616: 1565: 1474: 1416: 1362: 1308: 1221: 1134: 1123: 1049: 1036: 919: 621:Retrieved on Jan 13, 2009 335:World Health Organization 57: 49: 37: 29: 24: 3621:Intrahepatic cholestasis 2366:Gestational hypertension 1668:Gynaecological disorders 1484:Culture and menstruation 1451:Contraceptive prevalence 1343:Compulsory sterilization 692:"Cervical insufficiency" 602:Last Updated: 5 May 2009 544:The Lancet Global Health 88:early pregnancy bleeding 3691:Motor vehicle emissions 3552:Concomitant conditions 3526:environmental toxicants 3269:Auxiliary nurse midwife 3030:artificial insemination 2997:Natural family planning 2765:Umbilical cord prolapse 2687:Amniotic fluid embolism 2445:dermatoses of pregnancy 1951:Urinary tract infection 1743:Abuse during childbirth 3785:Postpartum confinement 3045:in vitro fertilisation 2881:Concomitant conditions 2860:Postpartum thyroiditis 2638:Circumvallate placenta 2458:Impetigo herpetiformis 2453:Gestational pemphigoid 2425:Hyperemesis gravidarum 2358:hypertensive disorders 1868:Cardiovascular disease 1456:Contraceptive security 1389:In vitro fertilization 1300:Postpartum confinement 1174:Hyperemesis gravidarum 469:"Maternal haemorrhage" 223:von Willebrand disease 3928:Obstetric haemorrhage 3780:Postpartum depression 3661:Pruritic folliculitis 3405:Unassisted childbirth 2850:Postpartum infections 2845:Postpartum depression 1990:Healthcare inequality 1792:Gender discrimination 1596:Human papilloma virus 1271:Vesicovaginal fistula 988:Medical Knowledge app 290:hematologic disorders 3887:Gravidity and parity 3867:Congenital disorders 3826:Lactation consultant 3696:Pre-existing disease 3375:Childbirth positions 3365:Rupture of membranes 3062:Unintended pregnancy 3040:fertility medication 2855:Postpartum psychosis 2724:Obstetrical bleeding 2619:Obstetrical bleeding 2440:Integumentary system 2415:Gestational diabetes 2394:related to pregnancy 2392:Other, predominantly 2097:Nurses' Health Study 2005:Reproductive justice 1956:Urinary incontinence 1576:Sexually transmitted 1431:Intrauterine devices 1276:Rectovaginal fistula 1266:Obstetrical fistulae 1194:Gestational diabetes 1189:Obstetrical bleeding 1164:Adolescent pregnancy 1149:Gravidity and parity 1144:Unintended pregnancy 423:(10053): 1459–1544. 370:(10053): 1545–1602. 306:Gynecologic bleeding 68:Obstetrical bleeding 25:Obstetrical bleeding 3908:Medical emergencies 3790:Sex after pregnancy 3597:Endocrine diseases 3543:Prenatal depression 3415:Placental expulsion 3333:Uterine contraction 3316:cervical effacement 3057:Fertility awareness 2835:Postpartum bleeding 2658:Placental abruption 2643:Monochorionic twins 2473:Prurigo gestationis 2010:Women's empowerment 1878:Alzheimer's disease 1509:Cloth menstrual pad 1466:Fertility awareness 1436:Oral contraceptives 1318:Perinatal mortality 746:2016PLoSO..1152408A 649:2016PLoSO..1167332S 204:Postpartum bleeding 175:placental abruption 153:. Also a placental 139:Antepartum bleeding 134:Antepartum bleeding 103:placental abruption 3566:Hypercoagulability 3395:Natural childbirth 3244:Postterm pregnancy 3002:Male contraceptive 2865:Puerperal mastitis 2820:Breast engorgement 2607:Monoamniotic twins 2597:Chorionic hematoma 2107:Cartwright Inquiry 2018:Politics, research 1836:Endometrial cancer 1690:Sexual intercourse 1461:Planned parenthood 1446:Male contraceptive 617:2010-01-08 at the 486:10.1093/bja/aep303 280:Unrelated bleeding 119:bleeding disorders 53:8.7 million (2015) 3895: 3894: 3880:Obstetric history 3875: 3874: 3836:Confinement nanny 3749: 3748: 3616:Acute fatty liver 3423: 3422: 3311:cervical dilation 2938: 2937: 2896:Thyroid disorders 2886:Diabetes mellitus 2770:Uterine inversion 2702:Shoulder dystocia 2697:Obstructed labour 2673: 2672: 2537: 2536: 2506:Chorea gravidarum 2282:Ectopic pregnancy 2207: 2206: 2087: 2086: 1912: 1911: 1863: 1862: 1846:Papanicolaou test 1802:Non-communicable 1770:Sexual harassment 1748:Domestic violence 1718: 1717: 1561: 1560: 1358: 1357: 1261:Retained placenta 1179:Ectopic pregnancy 975: 974: 65: 64: 19:Medical condition 3935: 3760: 3759: 3726:Cardiotocography 3432: 3431: 3338:Vaginal delivery 3211:Nesting instinct 3186: 3185: 3171:Rudimentary horn 3100:Prenatal testing 2965: 2958: 2951: 2942: 2941: 2925: 2924: 2760:Postmature birth 2748:Placenta accreta 2653:Placenta praevia 2648:Placenta accreta 2592:Chorioamnionitis 2402:Digestive system 2398: 2397: 2324:Fetal resorption 2312:Rudimentary horn 2269:abortive outcome 2263: 2262: 2234: 2227: 2220: 2211: 2210: 2195: 2194: 2183: 2182: 2171: 2170: 2024: 2023: 1809: 1808: 1729: 1728: 1723:Non-reproductive 1572: 1571: 1489:Feminine hygiene 1256:Cesarian section 1251:Obstructed labor 1132: 1131: 1047: 1046: 1028: 1018: 1011: 1004: 995: 994: 983: 917: 916: 905: 904: 893:. 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3930: 3925: 3923:Women's health 3920: 3915: 3910: 3893: 3892: 3890: 3889: 3883: 3881: 3877: 3876: 3873: 3872: 3870: 3869: 3864: 3859: 3854: 3848: 3846: 3842: 3841: 3839: 3838: 3833: 3828: 3823: 3821:Health visitor 3818: 3812: 3810: 3806: 3805: 3803: 3802: 3797: 3792: 3787: 3782: 3777: 3772: 3766: 3764: 3757: 3751: 3750: 3747: 3746: 3744: 3743: 3738: 3736:Nonstress test 3733: 3728: 3723: 3717: 3715: 3711: 3710: 3708: 3707: 3706: 3705: 3704: 3703: 3698: 3693: 3688: 3683: 3678: 3670: 3669: 3668: 3663: 3658: 3652:Skin diseases 3650: 3649: 3648: 3643: 3638: 3633: 3625: 3624: 3623: 3618: 3610: 3609: 3608: 3603: 3595: 3594: 3593: 3588: 3583: 3578: 3568: 3563: 3558: 3550: 3545: 3540: 3539: 3538: 3533: 3528: 3520: 3514: 3512: 3506: 3505: 3503: 3502: 3497: 3492: 3487: 3482: 3477: 3471: 3469: 3463: 3462: 3460: 3459: 3454: 3449: 3444: 3442:Amniotic fluid 3438: 3436: 3429: 3425: 3424: 3421: 3420: 3418: 3417: 3412: 3407: 3402: 3397: 3392: 3390:Multiple birth 3387: 3382: 3377: 3372: 3367: 3362: 3361: 3360: 3355: 3350: 3340: 3335: 3330: 3325: 3324: 3323: 3318: 3313: 3298: 3296: 3292: 3291: 3289: 3288: 3283: 3278: 3273: 3272: 3271: 3261: 3256: 3251: 3246: 3241: 3240: 3239: 3229: 3223: 3221: 3217: 3216: 3214: 3213: 3208: 3203: 3198: 3196:Bradley method 3192: 3190: 3183: 3177: 3176: 3174: 3173: 3168: 3163: 3158: 3153: 3148: 3143: 3138: 3133: 3128: 3123: 3117: 3115: 3111: 3110: 3108: 3107: 3102: 3097: 3096: 3095: 3088:Pregnancy test 3085: 3080: 3074: 3072: 3068: 3067: 3065: 3064: 3059: 3054: 3053: 3052: 3047: 3042: 3037: 3032: 3021: 3019: 3013: 3012: 3010: 3009: 3004: 2999: 2994: 2988: 2986: 2980: 2979: 2968: 2967: 2960: 2953: 2945: 2936: 2935: 2933: 2932: 2917: 2914: 2913: 2911: 2910: 2905: 2903:Maternal death 2900: 2899: 2898: 2893: 2888: 2877: 2875: 2871: 2870: 2868: 2867: 2862: 2857: 2852: 2847: 2842: 2837: 2832: 2827: 2822: 2817: 2816: 2815: 2810: 2799: 2797: 2791: 2790: 2788: 2787: 2782: 2777: 2772: 2767: 2762: 2757: 2752: 2751: 2750: 2738: 2733: 2732: 2731: 2721: 2716: 2711: 2709:Fetal distress 2706: 2705: 2704: 2694: 2689: 2683: 2681: 2675: 2674: 2671: 2670: 2668: 2667: 2666: 2665: 2660: 2655: 2650: 2645: 2640: 2628: 2627: 2626: 2616: 2615: 2614: 2609: 2604: 2599: 2594: 2578: 2573: 2572: 2571: 2569:Polyhydramnios 2566: 2558:amniotic fluid 2553: 2551: 2539: 2538: 2535: 2534: 2532: 2531: 2526: 2520: 2518: 2512: 2511: 2509: 2508: 2502: 2500: 2498:Nervous system 2494: 2493: 2491: 2490: 2485: 2480: 2475: 2470: 2465: 2460: 2455: 2449: 2447: 2436: 2435: 2433: 2432: 2427: 2422: 2417: 2412: 2406: 2404: 2395: 2389: 2388: 2386: 2385: 2380: 2379: 2378: 2376:HELLP syndrome 2368: 2362: 2360: 2345: 2344: 2342: 2341: 2336: 2331: 2326: 2321: 2316: 2315: 2314: 2309: 2304: 2299: 2294: 2289: 2279: 2273: 2271: 2267:Pregnancy with 2260: 2254: 2253: 2237: 2236: 2229: 2222: 2214: 2205: 2204: 2202: 2201: 2189: 2177: 2164: 2161: 2160: 2158: 2153: 2148: 2147: 2146: 2136: 2131: 2126: 2124: 2121:Women's health 2118: 2117: 2115: 2114: 2109: 2104: 2099: 2094: 2088: 2085: 2084: 2082: 2081: 2076: 2070: 2068: 2062: 2061: 2059: 2058: 2053: 2048: 2043: 2038: 2032: 2030: 2028:United Nations 2021: 2020:& advocacy 2015: 2014: 2012: 2007: 2002: 1997: 1992: 1987: 1982: 1977: 1972: 1970: 1967:Sociocultural 1964: 1963: 1961: 1960: 1959: 1958: 1953: 1948: 1938: 1937: 1936: 1935: 1934: 1924: 1913: 1910: 1909: 1907: 1906: 1901: 1900: 1899: 1898: 1897: 1882: 1881: 1880: 1870: 1864: 1861: 1860: 1858: 1857: 1855:Ovarian cancer 1852: 1851: 1850: 1849: 1848: 1838: 1831:Uterine cancer 1828: 1823: 1817: 1815: 1806: 1798: 1797: 1795: 1794: 1789: 1784: 1783: 1782: 1775:Sexual assault 1772: 1767: 1762: 1757: 1756: 1755: 1745: 1739: 1737: 1726: 1720: 1719: 1716: 1715: 1713: 1712: 1707: 1702: 1697: 1692: 1687: 1682: 1677: 1676: 1675: 1665: 1660: 1655: 1653:Child marriage 1650: 1648:Breast ironing 1645: 1640: 1638:Breast binding 1635: 1634: 1633: 1628: 1626:Clitoridectomy 1617: 1614: 1613: 1611: 1610: 1605: 1604: 1603: 1593: 1588: 1582: 1580: 1569: 1563: 1562: 1559: 1558: 1556: 1555: 1554: 1553: 1543: 1538: 1533: 1528: 1527: 1526: 1521: 1516: 1511: 1504:Menstrual aids 1501: 1496: 1491: 1486: 1480: 1478: 1472: 1471: 1469: 1468: 1463: 1458: 1453: 1448: 1443: 1438: 1433: 1427: 1425: 1414: 1413: 1411: 1410: 1409: 1408: 1403: 1393: 1392: 1391: 1386: 1381: 1370: 1368: 1360: 1359: 1356: 1355: 1353: 1352: 1347: 1346: 1345: 1335: 1330: 1325: 1320: 1315: 1309: 1306: 1305: 1303: 1302: 1297: 1292: 1291: 1290: 1288:Husband stitch 1280: 1279: 1278: 1273: 1263: 1258: 1253: 1248: 1243: 1238: 1233: 1227: 1225: 1219: 1218: 1216: 1215: 1214: 1213: 1212: 1211: 1206: 1196: 1191: 1186: 1181: 1176: 1166: 1161: 1159:Antenatal care 1156: 1151: 1146: 1140: 1138: 1129: 1121: 1120: 1118: 1117: 1112: 1107: 1105:Fallopian tube 1102: 1097: 1092: 1087: 1086: 1085: 1080: 1075: 1074: 1073: 1057: 1055: 1051:Reproductive 1044: 1037: 1034: 1033: 1030:Women's health 1021: 1020: 1013: 1006: 998: 978: 977: 973: 972: 969: 968: 949: 929: 924: 923: 921: 920:Classification 913: 912:External links 910: 907: 906: 899: 881: 851: 844: 826: 791: 779: 720: 701: 682: 623: 604: 589: 530: 524:978-0702044113 523: 500: 452: 399: 346: 321: 320: 318: 315: 314: 313: 308: 301: 298: 281: 278: 277: 276: 270: 267: 257: 256: 250: 247: 239: 236: 214: 211: 202:Main article: 199: 198:After delivery 196: 166: 163: 132:Main article: 129: 126: 63: 62: 59: 55: 54: 51: 47: 46: 41: 35: 34: 31: 27: 26: 18: 15: 9: 6: 4: 3: 2: 3940: 3929: 3926: 3924: 3921: 3919: 3916: 3914: 3911: 3909: 3906: 3905: 3903: 3888: 3885: 3884: 3882: 3878: 3868: 3865: 3863: 3860: 3858: 3855: 3853: 3850: 3849: 3847: 3843: 3837: 3834: 3832: 3831:Monthly nurse 3829: 3827: 3824: 3822: 3819: 3817: 3814: 3813: 3811: 3807: 3801: 3798: 3796: 3793: 3791: 3788: 3786: 3783: 3781: 3778: 3776: 3773: 3771: 3768: 3767: 3765: 3761: 3758: 3756: 3752: 3742: 3739: 3737: 3734: 3732: 3729: 3727: 3724: 3722: 3721:Amniocentesis 3719: 3718: 3716: 3712: 3702: 3699: 3697: 3694: 3692: 3689: 3687: 3684: 3682: 3681:Vaginal flora 3679: 3677: 3674: 3673: 3671: 3667: 3664: 3662: 3659: 3657: 3654: 3653: 3651: 3647: 3644: 3642: 3639: 3637: 3634: 3632: 3629: 3628: 3626: 3622: 3619: 3617: 3614: 3613: 3611: 3607: 3604: 3602: 3599: 3598: 3596: 3592: 3589: 3587: 3584: 3582: 3579: 3577: 3574: 3573: 3572: 3571:Substance use 3569: 3567: 3564: 3562: 3559: 3557: 3554: 3553: 3551: 3549: 3546: 3544: 3541: 3537: 3534: 3532: 3529: 3527: 3524: 3523: 3521: 3519: 3516: 3515: 3513: 3511: 3507: 3501: 3498: 3496: 3493: 3491: 3488: 3486: 3485:Fundal height 3483: 3481: 3478: 3476: 3473: 3472: 3470: 3468: 3464: 3458: 3455: 3453: 3450: 3448: 3445: 3443: 3440: 3439: 3437: 3433: 3430: 3426: 3416: 3413: 3411: 3408: 3406: 3403: 3401: 3398: 3396: 3393: 3391: 3388: 3386: 3383: 3381: 3378: 3376: 3373: 3371: 3368: 3366: 3363: 3359: 3356: 3354: 3351: 3349: 3346: 3345: 3344: 3341: 3339: 3336: 3334: 3331: 3329: 3326: 3322: 3319: 3317: 3314: 3312: 3309: 3308: 3307: 3303: 3300: 3299: 3297: 3293: 3287: 3284: 3282: 3279: 3277: 3274: 3270: 3267: 3266: 3265: 3262: 3260: 3257: 3255: 3252: 3250: 3247: 3245: 3242: 3238: 3237:Preterm birth 3235: 3234: 3233: 3230: 3228: 3225: 3224: 3222: 3218: 3212: 3209: 3207: 3204: 3202: 3201:Hypnobirthing 3199: 3197: 3194: 3193: 3191: 3187: 3184: 3182: 3178: 3172: 3169: 3167: 3164: 3162: 3159: 3157: 3154: 3152: 3149: 3147: 3144: 3142: 3139: 3137: 3134: 3132: 3129: 3127: 3124: 3122: 3119: 3118: 3116: 3112: 3106: 3103: 3101: 3098: 3094: 3091: 3090: 3089: 3086: 3084: 3081: 3079: 3078:3D ultrasound 3076: 3075: 3073: 3069: 3063: 3060: 3058: 3055: 3051: 3048: 3046: 3043: 3041: 3038: 3036: 3033: 3031: 3028: 3027: 3026: 3023: 3022: 3020: 3018: 3014: 3008: 3005: 3003: 3000: 2998: 2995: 2993: 2992:Birth control 2990: 2989: 2987: 2985: 2981: 2977: 2973: 2966: 2961: 2959: 2954: 2952: 2947: 2946: 2943: 2931: 2930: 2926: 2919: 2918: 2915: 2909: 2906: 2904: 2901: 2897: 2894: 2892: 2889: 2887: 2884: 2883: 2882: 2879: 2878: 2876: 2872: 2866: 2863: 2861: 2858: 2856: 2853: 2851: 2848: 2846: 2843: 2841: 2838: 2836: 2833: 2831: 2828: 2826: 2823: 2821: 2818: 2814: 2811: 2809: 2806: 2805: 2804: 2801: 2800: 2798: 2796: 2792: 2786: 2785:Uterine atony 2783: 2781: 2778: 2776: 2773: 2771: 2768: 2766: 2763: 2761: 2758: 2756: 2755:Preterm birth 2753: 2749: 2746: 2745: 2744: 2743: 2739: 2737: 2734: 2730: 2727: 2726: 2725: 2722: 2720: 2717: 2715: 2712: 2710: 2707: 2703: 2700: 2699: 2698: 2695: 2693: 2690: 2688: 2685: 2684: 2682: 2680: 2676: 2664: 2661: 2659: 2656: 2654: 2651: 2649: 2646: 2644: 2641: 2639: 2636: 2635: 2634: 2633: 2629: 2625: 2622: 2621: 2620: 2617: 2613: 2610: 2608: 2605: 2603: 2600: 2598: 2595: 2593: 2590: 2589: 2588: 2587: 2583: 2579: 2577: 2574: 2570: 2567: 2565: 2562: 2561: 2560: 2559: 2555: 2554: 2552: 2550: 2546: 2540: 2530: 2527: 2525: 2522: 2521: 2519: 2517: 2513: 2507: 2504: 2503: 2501: 2499: 2495: 2489: 2488:Stretch marks 2486: 2484: 2481: 2479: 2476: 2474: 2471: 2469: 2466: 2464: 2461: 2459: 2456: 2454: 2451: 2450: 2448: 2446: 2441: 2437: 2431: 2428: 2426: 2423: 2421: 2418: 2416: 2413: 2411: 2408: 2407: 2405: 2403: 2399: 2396: 2390: 2384: 2381: 2377: 2374: 2373: 2372: 2371:Pre-eclampsia 2369: 2367: 2364: 2363: 2361: 2359: 2354: 2350: 2346: 2340: 2337: 2335: 2332: 2330: 2327: 2325: 2322: 2320: 2317: 2313: 2310: 2308: 2305: 2303: 2300: 2298: 2295: 2293: 2290: 2288: 2285: 2284: 2283: 2280: 2278: 2275: 2274: 2272: 2270: 2264: 2261: 2259: 2255: 2251: 2247: 2243: 2240:Pathology of 2235: 2230: 2228: 2223: 2221: 2216: 2215: 2212: 2200: 2199: 2190: 2188: 2187: 2178: 2176: 2175: 2166: 2165: 2162: 2157: 2154: 2152: 2149: 2145: 2142: 2141: 2140: 2137: 2135: 2132: 2130: 2127: 2125: 2119: 2113: 2110: 2108: 2105: 2103: 2100: 2098: 2095: 2093: 2090: 2089: 2080: 2077: 2075: 2072: 2071: 2069: 2067: 2066:United States 2063: 2057: 2054: 2052: 2049: 2047: 2044: 2042: 2039: 2037: 2034: 2033: 2031: 2029: 2025: 2022: 2016: 2011: 2008: 2006: 2003: 2001: 1998: 1996: 1993: 1991: 1988: 1986: 1983: 1981: 1980:Disadvantaged 1978: 1976: 1973: 1971: 1965: 1957: 1954: 1952: 1949: 1947: 1944: 1943: 1942: 1941:Urinary tract 1939: 1933: 1930: 1929: 1928: 1925: 1923: 1920: 1919: 1918: 1917:Mental health 1915: 1914: 1905: 1902: 1896: 1893: 1892: 1891: 1888: 1887: 1886: 1883: 1879: 1876: 1875: 1874: 1871: 1869: 1866: 1865: 1856: 1853: 1847: 1844: 1843: 1842: 1839: 1837: 1834: 1833: 1832: 1829: 1827: 1826:Breast cancer 1824: 1822: 1819: 1818: 1816: 1814: 1810: 1807: 1805: 1799: 1793: 1790: 1788: 1785: 1781: 1778: 1777: 1776: 1773: 1771: 1768: 1766: 1763: 1761: 1758: 1754: 1751: 1750: 1749: 1746: 1744: 1741: 1740: 1738: 1736: 1735:against women 1730: 1727: 1721: 1711: 1710:Sex education 1708: 1706: 1703: 1701: 1698: 1696: 1693: 1691: 1688: 1686: 1683: 1681: 1678: 1674: 1671: 1670: 1669: 1666: 1664: 1661: 1659: 1656: 1654: 1651: 1649: 1646: 1644: 1643:Breast health 1641: 1639: 1636: 1632: 1629: 1627: 1624: 1623: 1622: 1619: 1618: 1615: 1609: 1606: 1602: 1599: 1598: 1597: 1594: 1592: 1589: 1587: 1584: 1583: 1581: 1579: 1573: 1570: 1564: 1552: 1549: 1548: 1547: 1544: 1542: 1539: 1537: 1534: 1532: 1529: 1525: 1522: 1520: 1517: 1515: 1514:Menstrual cup 1512: 1510: 1507: 1506: 1505: 1502: 1500: 1497: 1495: 1492: 1490: 1487: 1485: 1482: 1481: 1479: 1477: 1473: 1467: 1464: 1462: 1459: 1457: 1454: 1452: 1449: 1447: 1444: 1442: 1439: 1437: 1434: 1432: 1429: 1428: 1426: 1424: 1419: 1418:Contraception 1415: 1407: 1404: 1402: 1399: 1398: 1397: 1394: 1390: 1387: 1385: 1382: 1380: 1379:Childlessness 1377: 1376: 1375: 1372: 1371: 1369: 1367: 1364:Reproductive 1361: 1351: 1348: 1344: 1341: 1340: 1339: 1338:Sterilization 1336: 1334: 1331: 1329: 1326: 1324: 1321: 1319: 1316: 1314: 1311: 1310: 1307: 1301: 1298: 1296: 1293: 1289: 1286: 1285: 1284: 1281: 1277: 1274: 1272: 1269: 1268: 1267: 1264: 1262: 1259: 1257: 1254: 1252: 1249: 1247: 1244: 1242: 1239: 1237: 1236:Preterm birth 1234: 1232: 1229: 1228: 1226: 1224: 1220: 1210: 1207: 1205: 1202: 1201: 1200: 1197: 1195: 1192: 1190: 1187: 1185: 1182: 1180: 1177: 1175: 1172: 1171: 1170: 1167: 1165: 1162: 1160: 1157: 1155: 1152: 1150: 1147: 1145: 1142: 1141: 1139: 1137: 1133: 1130: 1128: 1122: 1116: 1113: 1111: 1108: 1106: 1103: 1101: 1098: 1096: 1093: 1091: 1088: 1084: 1081: 1079: 1076: 1072: 1071:Clitoral hood 1069: 1068: 1067: 1064: 1063: 1062: 1059: 1058: 1056: 1054: 1048: 1045: 1042: 1039:Reproductive 1035: 1031: 1027: 1019: 1014: 1012: 1007: 1005: 1000: 999: 996: 990: 989: 982: 967: 963: 959: 958: 954: 950: 948: 944: 940: 939: 935: 931: 930: 927: 922: 918: 902: 900:9780780802162 896: 892: 885: 877: 873: 866: 864: 862: 860: 858: 856: 847: 845:9780780802162 841: 837: 830: 822: 818: 814: 810: 806: 802: 795: 786: 784: 775: 771: 766: 761: 756: 751: 747: 743: 739: 735: 731: 724: 716: 712: 705: 697: 693: 686: 678: 674: 669: 664: 659: 654: 650: 646: 642: 638: 634: 627: 620: 616: 613: 608: 601: 596: 594: 585: 581: 577: 573: 568: 563: 558: 553: 549: 545: 541: 534: 526: 520: 516: 515: 507: 505: 496: 492: 487: 482: 478: 474: 470: 463: 461: 459: 457: 448: 444: 439: 434: 430: 426: 422: 418: 414: 406: 404: 395: 391: 386: 381: 377: 373: 369: 365: 361: 353: 351: 336: 332: 326: 322: 312: 309: 307: 304: 303: 297: 295: 291: 287: 274: 271: 268: 265: 262: 261: 260: 255: 251: 248: 245: 244: 243: 238:Medical tests 235: 232: 228: 224: 220: 210: 205: 195: 192: 188: 184: 180: 176: 172: 162: 158: 156: 152: 148: 144: 140: 135: 125: 122: 120: 116: 112: 108: 104: 100: 96: 91: 89: 85: 82:, during, or 81: 77: 73: 69: 61:83,000 (2015) 60: 56: 52: 48: 45: 42: 40: 36: 32: 28: 23: 3685: 3561:Hypertension 3548:Immunization 3531:in pregnancy 3447:Amniotic sac 3400:Silent birth 3343:Presentation 3306:Bishop score 3276:Obstetrician 3166:Interstitial 3093:home testing 2927: 2920: 2780:Vasa praevia 2740: 2723: 2714:Locked twins 2630: 2618: 2580: 2556: 2302:Interstitial 2196: 2184: 2172: 1895:Hip fracture 1890:Osteoporosis 1631:Infibulation 1531:Dysmenorrhea 1524:Sanitary pad 1476:Menstruation 1204:Preeclampsia 1199:Hypertension 1188: 1083:Labia majora 1078:Labia minora 986: 951: 932: 890: 884: 876:Merck Manual 875: 835: 829: 804: 800: 794: 737: 733: 723: 714: 704: 695: 685: 640: 636: 626: 607: 547: 543: 533: 513: 476: 472: 420: 416: 367: 363: 338:. 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Index

Specialty
Obstetrics
bleeding
pregnancy
before
after childbirth
early pregnancy bleeding
cervicitis
placenta previa
placental abruption
uterine rupture
poor contraction of the uterus
retained products of conception
bleeding disorders
Antepartum bleeding
Antepartum bleeding
gestational age
placenta previa
cesarean section
abruption
placenta previa
placental abruption
uterine rupture
fetus
vasa previa
velamentous umbilical cord insertion
Postpartum bleeding
hemophilia
von Willebrand disease
factor IX

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