A vaginal exiamination contraindicated in an antepartum client with bright red, painless bleeding.
If a patient has bright red vaginal bleeding, a vaginal examination should be avoided until placenta previa has been ruled out. Vaginal bleeding is referred to as antepartum haemorrhage. It is most frequently observed in the third trimester and is linked to high rates of maternal and foetal morbidity and mortality.
Placental previa, placental abruption, and bloody labour show are common causes of antepartum haemorrhage. Vaginal haemorrhage, stiff uterus, and lower abdominal pain are frequently present placental abruption symptoms. Contrarily, placenta previa and vasa previa often present with painless vaginal bleeding and foetal discomfort prior to or following the rupture of the membranes, respectively.
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