latepregnancy hemorrhag

Bbosa Michael Kiyinji, Ssemwanga John Baptist

Late pregnancy hemorrhage, or antepartum hemorrhage, is a critical obstetric complication occurring after 28 weeks of gestation, significantly contributing to maternal and perinatal mortality. The document elaborates on two primary causes: placenta previa, where the placenta implants in the lower uterine segment, and placental abruption, the premature separation of the placenta from the uterine wall. It outlines the distinct etiologies, pathophysiological mechanisms, clinical presentations, and management strategies for each, emphasizing timely diagnosis and intervention, including delivery when necessary, to improve maternal and fetal outcomes.