NREMT Paramedic Practice

Third trimester bleeding can be a serious concern in pregnancy, and recognizing the potential causes is crucial for ensuring the safety of both the mother and the fetus. Two significant conditions that can lead to bleeding during the third trimester are placenta previa and abruption placentae. Placenta previa occurs when the placenta is positioned low in the uterus, partially or completely covering the cervix. This abnormal placement can lead to painless vaginal bleeding as the cervix begins to thin and dilate. In pregnancies with placenta previa, any pressure on the cervix, such as contractions, can exacerbate this bleeding, making it a critical condition to monitor and manage. Abruption placentae, or placental abruption, involves the premature separation of the placenta from the uterine wall. This condition can lead to significant bleeding, which may be accompanied by abdominal pain and uterine tenderness. Abruption is a serious situation because it can compromise oxygen and nutrient delivery to the fetus and also pose risks to the mother's health. Both conditions highlight the importance of careful assessment and intervention in cases of third trimester bleeding. While ectopic pregnancy is a potential source of bleeding, it typically occurs in the first trimester, making it less relevant in the context of third trimester bleeding. Thus, recognizing the