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SUMMARY: Sarena and Kavya discuss four vignettes on second trimester bleeding with Sam Kempner, MD.

TIMESTAMPS:

00:40 Dr. Sam Kempner Biography

02:42: Case 1: 23-year-old G3P0200 at 21 weeks gestation presenting with vaginal spotting.

05:40: Case 2: 36-year-old nonbinary patient at 26 weeks gestation coming to the office due to vaginal bleeding.

08:20: Case 3: 41-year-old G3P2 at 27 weeks gestation with Di di twins coming into the office because she noticed bright red blood on her toilet paper

10:06: Case 4: 35-year-old G1P0 at 26 weeks one day who comes to triage due to decreased fetal movement

12:56: Wrap-up

LINKS:

Dr. Sam Kempner Bio

ACOG Early Pregnancy Loss Practice Bulletin

Hendriks, E., MacNaughton, H., & MacKenzie, M. C. (2019). First trimester bleeding: evaluation and management. American family physician, 99(3), 166-174.

Dugas, C., & Slane, V. H. (2021). Miscarriage. In StatPearls. StatPearls Publishing.

Dogra V, Paspulati RM, Bhatt S. First trimester bleeding evaluation. Ultrasound Q. 2005 Jun;21(2):69-85; quiz 149-50, 153-4. PMID: 15905817.

ACOG Bleeding During Pregnancy FAQ

ACR Appropriateness Criteria Second and Third Trimester Bleeding

NHS Bleeding in the Second Trimester of Pregnancy

UpToDate: Overview of the etiology and evaluation of vaginal bleeding in pregnancy

ACOG Second-Trimester Abortion Practice Bulletin

TRANSCRIPT:https://bit.ly/ultrasounds_2ndTbleeding

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The OBGYN Delivered student team has no relevant financial disclosures. The Ultrasounds podcast is for educational and informational purposes only and should not be considered medical advice. Please do not use any of the information presented to treat, diagnose, or prevent real life medical concerns. The statements made on this podcast are solely those of the OB/GYN Delivered hosts and guests and do not reflect the views of any specific institution or organization.