Vaginal bleeding in a pregnant 32-year-old woman

Test Results


External fetal monitoring and tocometry: Few irregular contractions and a reactive fetal heart rate tracing at 150 beats/minute.


Ultrasonography: Cephalic presenting fetus and a fundal placenta with its margins clear of the region of the cervical os. Amniotic fluid index 15.7 cm (normal range: 8-18 cm)


Blood Tests:

Test (units) Results Results (SI Units)
Hemoglobin 10.9 gm/dL (109 g/L)
Platelets 238,000/mcL (238 x 109/L)
Type and screen A+
Kleihauer-Betke test Negative
Fibrinogen 402 mg/dL (11.8 micromol/L), within normal range
PT/PTT Normal