CPM Certified Professional Midwife

Category - Labor, Birth, and Immediate Postpartum

A woman (primigravida) developed vaginal bleeding in her first trimester of pregnancy. Which of the following can be a possible cause?
  1. Rupture of ectopic pregnancy
  2. Implantation bleeding
  3. Uterine polyps
  4. All of the above
Explanation
Answer: D - all of the above

The first stage starts from the onset of true labor pain, and ends with full dilatation of cervix. Causes of first trimester vaginal bleeding can include:
1. Miscarriage (spontaneous abortion)
2. Ectopic pregnancy rupture
3. Implantation bleeding
4. Uterine polyps
5. Molar pregnancy
6. Ruptured uterine varicose vein
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