CPM Certified Professional Midwife

Category - Labor, Birth, and Immediate Postpartum

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A woman (primigravida) developed vaginal bleeding in her first trimester of pregnancy. Which of the following can be a possible cause?

Rupture of ectopic pregnancy
Implantation bleeding
Uterine polyps
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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