SUMMARY: Sarena and Kavya discuss vignettes on third trimester bleeding with Sam Kempner, MD.

TIMESTAMPS:

00:34 Dr. Sam Kempner Biography

03:35: Case 1: 37-year-old G1P0 at 39 weeks and 3 days gestation presenting with painless vaginal bleeding

06:35: Case 2: 34-year-old nonbinary patient at 26 weeks gestation coming to the office due to vaginal  bleeding.

10:30: Case 3: 41-year-old G3P2 at 27 weeks gestation with Di di twins coming into the office because  she noticed bright red blood on her toilet paper

12:45: Case 4: 35-year-old G1P0 at 26 weeks one day who comes to triage due to decreased fetal  movement

15:30: Case 5: 37 year old G1P0 at 39w3d presents to triage with painless vaginal bleeding

21:20: Wrap-up

LINKS:

Dr. Sam Kempner Bio

ACOG Early Pregnancy Loss Practice Bulletin

Hendriks, E., MacNaughton, H., & MacKenzie, M. C. (2019). First trimester bleeding: evaluation and management. American family physician, 99(3), 166-174.

Dugas, C., & Slane, V. H. (2021). Miscarriage. In StatPearls. StatPearls Publishing.

Dogra V, Paspulati RM, Bhatt S. First trimester bleeding evaluation. Ultrasound Q. 2005 Jun;21(2):69-85; quiz 149-50, 153-4. PMID: 15905817.

ACOG Bleeding During Pregnancy FAQ

ACR Appropriateness Criteria Second and Third Trimester Bleeding

UpToDate: Overview of the etiology and evaluation of vaginal bleeding in pregnancy

DISCLOSURES/DISCLAIMERS:

The OBGYN Delivered student team has no relevant financial disclosures. The Ultrasounds podcast is for  educational and informational purposes only and should not be considered medical advice. Please do  not use any of the information presented to treat, diagnose, or prevent real life medical concerns. The  statements made on this podcast are solely those of the OB/GYN Delivered hosts and guests and do not  reflect the views of any specific institution or organization.

TRANSCRIPT: https://bit.ly/ultrasounds_3rdTbleeding