n Obstetrics and Gynaecology Forum - Antepartum haemorrhage of unknown origin after 24 weeks of pregnancy - how to approach it : review

Volume 21, Issue 1
  • ISSN : 1027-9148



The obstetrician is very often confronted with antepartum haemorrhage. After stabilising the patient haemodynamically the hunt for a cause is persued. After excluding a placenta praevia, abruptio placentae, local causes (cervical lesions, infection e.g. gonorrhoea and urinary tract infection) and vasa praevia the, diagnosis of antepartum haemorrhage of unknown origin (APHUO) is made. This condition usually awakens the feeling of uneasiness, doubt and uncertainty in the clinician. Rightly so, as the evidence is scarce and no clear guidelines on its management exists.

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