Abruptio placenta. Placenta previa. Vasa previa unexplained Cervical polyp. Cervical erosion. Cervical cancer. All patients with bleeding in pregnancy.

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Presentation transcript:

Abruptio placenta. Placenta previa. Vasa previa unexplained Cervical polyp. Cervical erosion. Cervical cancer. All patients with bleeding in pregnancy should have speculum examination

Hypertension. Pre-eclampsia. IUGR High parity. Previous abruption. Hyperdestension of the uterus. Smoking and drug abuse. Low social class

Type: I: in the lower segment. Type II; reaching the os. Type III; partially covering the os. Type IV; completely covering the os (centralis. Major Minor

Vaginal examination is absolutely contraindicated

Investigation: Ultrasound. CBC Never never never perform Vagina examination unless PP is excluded