Good day! We had a patient with a chief complaint of Vaginal Bleeding but here final diagnosis was an interpretation of her fetal biometry - Uterine pregnancy 25 weeks, live, singleton, cephalic presentation, posterior placenta, grade 1, high lying. She was given medications to treat UTI and for its prophylaxis as well. What can be the possible cause of her vaginal bleeding? What can be the focus for our pathophysiology? Thank you so much!
Hello,First, do not panic. As ultrasound report is showing that placenta is located high up and not low-lying (placenta prefix), we need to look for the other causes of bleed per vaginal. I will suggest getting gentle gynecology checkup done including per spectrum and per vaginal examination. Many times, cervical erosion and or polyp can be the cause of such bleeding. If needed excision of polyp and treatment of cervical erosion with a course of broad-spectrum antibiotics like Amoxicillin and Clavulanic acid two times a day for five days and local vaginal pessary containing Clindamycin and Clotrimazole once at night for seven days will be of help. Use of lactic acid containing vaginal wash during bath time is advisable. Hope I have answered your query. Let me know if I can assist you further.