OBJECTIVES. Identify the major causes of third trimester bleedingIdentify the steps needed to evaluate a patient with an antepartum hemorrhageDiscuss the management of a patient with a third-trimester bleed . BACKGROUND. Non-pregnant state: uterus receives 1% of cardiac outputPlasma volume increases by 50%CO increases by 30-50%Third trimester: uterus receives 20% of an increased outputReal potential for massive hemorrhage.
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