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Early Pregnancy Bleeding
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Early Pregnancy Bleeding(EPB)
KENNEDY K.
06/29/2021 1
, Definition
• Vaginal bleeding that occurs before fetal viability,
irrespective of the etiology.
• For purposes of definition, an upper limit of 28 weeks of
gestation is used,
Differential dignosis
– Abortion
– Hydatidiform mole
– Ectopic pregnancy
– Coincidental causes – infections; neoplasms
– ??DUB
NB: Abortion is the commonest cause of EPB
06/29/2021 2
, ABORTION
• Essentialparameters in the in the definition:
– Bleeding is the most common manifestation in the process of abortion of abortion; drainage of
liquor & uterine contractions are also important parameters in the process of abortion.
– Weight & gestation are the most important considerations.
– Viability is pivotal in the definition.
• The basic definition of abortion then is termination of pregnancy before gestation of
viability. Often, termination of pregnancy before 28 weeks has been taken as an
appropriate definition.
• WHO definition: “termination of pregnancy before 20 weeks of gestation or if the
fetus weighs less than 500 grams.”
• Variation in the definition affects comparative statistics between countries & regions.
• 500 g of fetal development is attained approximately at 22 weeks (154 days) of
gestation
06/29/2021 3
, Types of abortion
• Based on etiology:
– Spontaneous abortion
– Induced abortion
• Therapeutic
• Criminal
• Clandestine
• Legal
06/29/2021 4
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