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Second level

Third level

Fourth level

Fifth level

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About 20 % for CLINICALLY Recognized pregnancies

Unexplained bleeding or cramping, b/a

Cervix closed may Abort

Missed AB fetus dies but doesn’t expel…may lead to maternal dic after 6 weeks

Recurrent 3 or more pg

Assess cramping and B/a

Clotting mechanisms not available when needed…severe bleeding may ensue

Bleeding is painless

Hemabate is usually the last drug we give…side effects

Go in and ligate leaking vessel

Excessive or bright bleeding

Boggy fundus…unresp to mass

Abn clots

Backache abn pelvic discomfort

Uterus contracted persistant bleeding

Rise in fundal height

Increased P, BP

Hematoma

Dec LOC