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The lecture Antepartum Hemorrhage by Veronica Gillispie, MD, MAS, FACOG is from the course Antenatal Care. It contains the following chapters:
Which of the following is defined as premature separation of the placenta from the uterus?
A 22-year-old G1P0 at 24 weeks gestation presents to the emergency room with painless heavy vaginal bleeding after intercourse. She denies any drug use or medical problems during this pregnancy. She has soaked through 4 large pads in the past 1 hour. Her blood pressure is 95/50 with a heart rate of 105 bpm. After starting emergent IV fluids, what is the next step in work-up?
A G2P1 woman with a history of a cesarean section for her first delivery is seven hours into her trial of labor. Her last cervical exam one hour ago showed 5 cm dilation with fetal cephalic station 1 cm above the ischial spines of the pelvis (-1 station) and Pitocin (oxytocin) augmentation was started at that time. The patient is experiencing a sudden increase in vaginal bleeding and severe abdominal pain and tenderness. Fetal heart rate has dropped to 90 bpm and is continuing to drop, you call for an emergency c-section, and as you are rolling the patient into the operating room, you perform a rapid cervical exam to find fetal station is now too high to be reached. What is the likely cause of this obstetrical emergency?
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