Diagnosis on the spotFree in the app
Bleeding after 24 weeks
Praevia vs abruption vs vasa praevia.
Source: RCOG GTG 63 · GTG 27aFeature
| Placenta praevia | Painless, bright red, recurrent; soft non-tender uterus; high head / malpresentation. |
|---|---|
| Abruption | Painful, dark; woody hard tender uterus; shock out of proportion; abnormal CTG. |
| Vasa praevia | Bleed at membrane rupture with sudden fetal bradycardia. |
| Show / cervical | Small, mucousy; cervical change, ectropion, polyp. |
| Uterine rupture | Scarred uterus, pain, loss of station, abnormal CTG. |
No digital vaginal exam until placenta praevia is excluded by scan.
A summary for trained clinicians. Always check the full guideline, the patient in front of you and your hospital's protocol. Spotted an error? Tell us.