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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Vaginal Bleeding During Pregnancy?

Good day! We had a patient with a chief complaint of Vaginal Bleeding but here final diagnosis was an interpretation of her fetal biometry - Uterine pregnancy 25 weeks, live, singleton, cephalic presentation, posterior placenta, grade 1, high lying. She was given medications to treat UTI and for its prophylaxis as well. What can be the possible cause of her vaginal bleeding? What can be the focus for our pathophysiology? Thank you so much!
posted on Tue, 28 Feb 2017
Twitter Sun, 1 Apr 2018 Answered on
Twitter Wed, 4 Apr 2018 Last reviewed on
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OBGYN,  's  Response
Hello,

First of all, do not panic. As ultrasound report is showing that placenta is located high up and not low lying ( placenta previa), we need to look for the other causes of bleed per vaginal. I will suggest getting gentle gynecology checkup done including per speculum and per vaginal examination. Many times, cervical erosion and or polyp can be the cause of such bleeding.

If needed excision of polyp and treatment of cervical erosion with a course of broad-spectrum antibiotics like Amoxycillin and Clavulanic acid two times a day for five days and local vaginal pessary containing Clindamycin and Clotrimazole once at night for seven days will be of help. Use of lactic acid containing vaginal wash during bath time is advisable.


Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Purushottam Neurgaonkar
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OBGYN, Maternal and Fetal Medicine,  Dr. MANDAVI RAI's  Response
Hello! Welcome to HealthcareMagic!

Basic cause of bleeding during 1st trimester can be because of implantation problem. There can be spotting or bleeding at times. Either get beta HCG repeated or if 6 weeks completed get a scan done and continue progesterone injections on daily basis.

Thank you for contacting us. Hope this clarifies your concerns.

Take care

Regards,
Dr. MANDAVI RAI, OBGYN, Maternal and Fetal Medicine
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What Causes Vaginal Bleeding During Pregnancy?

Hello, First of all, do not panic. As ultrasound report is showing that placenta is located high up and not low lying ( placenta previa), we need to look for the other causes of bleed per vaginal. I will suggest getting gentle gynecology checkup done including per speculum and per vaginal examination. Many times, cervical erosion and or polyp can be the cause of such bleeding. If needed excision of polyp and treatment of cervical erosion with a course of broad-spectrum antibiotics like Amoxycillin and Clavulanic acid two times a day for five days and local vaginal pessary containing Clindamycin and Clotrimazole once at night for seven days will be of help. Use of lactic acid containing vaginal wash during bath time is advisable. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Purushottam Neurgaonkar