{"id":7381,"date":"2023-05-24T13:44:31","date_gmt":"2023-05-24T16:44:31","guid":{"rendered":"https:\/\/www.grupomedcof.com.br\/blog\/?p=7381"},"modified":"2023-05-24T13:44:31","modified_gmt":"2023-05-24T16:44:31","slug":"sangramentos-na-gestacao-parte-2","status":"publish","type":"post","link":"https:\/\/www.grupomedcof.com.br\/blog\/sangramentos-na-gestacao-parte-2\/","title":{"rendered":"Sangramentos na gesta\u00e7\u00e3o: parte 2"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_74 counter-hierarchy ez-toc-counter ez-toc-transparent ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Sum\u00e1rio<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Alternar tabela de conte\u00fado\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/sangramentos-na-gestacao-parte-2\/#Leia_a_seguir\" >Leia a seguir<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/sangramentos-na-gestacao-parte-2\/#Sangramentos_na_gestacao_parte_2\" >Sangramentos na gesta\u00e7\u00e3o: parte 2<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/sangramentos-na-gestacao-parte-2\/#Descolamento_prematuro_da_placenta_DPP\" >Descolamento prematuro da placenta (DPP)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/sangramentos-na-gestacao-parte-2\/#Causas\" >Causas<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/sangramentos-na-gestacao-parte-2\/#Clinica\" >Cl\u00ednica<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/sangramentos-na-gestacao-parte-2\/#Classificacao\" >Classifica\u00e7\u00e3o<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/sangramentos-na-gestacao-parte-2\/#Conduta\" >Conduta<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/sangramentos-na-gestacao-parte-2\/#Placenta_previa_PP\" >Placenta pr\u00e9via (PP)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/sangramentos-na-gestacao-parte-2\/#Tipos_de_Implantacao_Placentaria\" >Tipos de Implanta\u00e7\u00e3o Placent\u00e1ria<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/sangramentos-na-gestacao-parte-2\/#Classificacao-2\" >Classifica\u00e7\u00e3o<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/sangramentos-na-gestacao-parte-2\/#Clinica-2\" >Cl\u00ednica<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/sangramentos-na-gestacao-parte-2\/#Conduta-2\" >Conduta<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/sangramentos-na-gestacao-parte-2\/#Conquiste_a_aprovacao\" >Conquiste a aprova\u00e7\u00e3o!<\/a><\/li><\/ul><\/nav><\/div>\n<p><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"450\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2023\/05\/Blog-MedCof-18-1024x576.png\" alt=\"descolamento prematuro de placenta, descolamento da placenta, placenta grau 2, placenta grau 1, placenta grau 3\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2023\/05\/Blog-MedCof-18-1024x576.png 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2023\/05\/Blog-MedCof-18-300x169.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2023\/05\/Blog-MedCof-18-768x432.png 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2023\/05\/Blog-MedCof-18-1536x864.png 1536w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2023\/05\/Blog-MedCof-18-2048x1152.png 2048w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/p>\n<p><strong>Sangramentos na gesta\u00e7\u00e3o:<\/strong> parte 2: Voltando a comentar sobre uma das grandes \u00e1reas cobradas nas provas de resid\u00eancia, vamos dar continuidade ao estudo dos sangramentos na <a href=\"https:\/\/www.grupomedcof.com.br\/blog\/sangramentos-na-gravidez\/\" target=\"_blank\" rel=\"noopener\">gesta\u00e7\u00e3o<\/a>, bem como os descolamentos de placenta.\u00a0Dessa vez, vamos falar dos\u00a0sangramentos da 2\u00aa metade da gesta\u00e7\u00e3o.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Leia_a_seguir\"><\/span>\n\t\t\t\tLeia a seguir\t\t\t<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<h2 style=\"font-family: Poppins, sans-serif; color: rgb(122, 122, 122);\"><span class=\"ez-toc-section\" id=\"Sangramentos_na_gestacao_parte_2\"><\/span>Sangramentos na gesta\u00e7\u00e3o: parte 2<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Sendo assim, diante de um sangramento&nbsp;ap\u00f3s 20 semanas de gesta\u00e7\u00e3o, devemos sempre pensar em: descolamento prematuro de placenta, placenta pr\u00e9via e roturas.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Descolamento_prematuro_da_placenta_DPP\"><\/span><strong>Descolamento prematuro da placenta (DPP)<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Sempre pensamos em DPP quando estamos diante de um sangramento com &gt; 20 semanas + hipertonia uterina. Esse descolamento precoce diminui a oxigena\u00e7\u00e3o e nutri\u00e7\u00e3o fetal e \u00e9 uma situa\u00e7\u00e3o\u00a0irrevers\u00edvel e progressiva.\u00a0Desse modo, geralmente, quando envolve &gt; 50% da placenta termina em \u00f3bito fetal. Al\u00e9m disso, o risco aumento de acordo com a \u00e1rea de descolamento e quanto menor for a idade gestacional (IG).<\/p>\n<h2 style=\"font-family: Poppins, sans-serif; color: rgb(122, 122, 122);\"><span class=\"ez-toc-section\" id=\"Causas\"><\/span>Causas<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<table id=\"f1d6f3b6-526d-47c2-bc9c-3415c076fc85\" style=\"background-color: rgb(255, 255, 255); width: 800.025px;\">\n<thead>\n<tr id=\"17945bba-0596-41b9-9a9a-f76ec917cad0\">\n<th id=\"[ogG\" style=\"border-color: rgba(128, 128, 128, 0.5);\">TRAUM\u00c1TICAS INTERNAS<\/th>\n<th id=\"gI^J\" style=\"border-color: rgba(128, 128, 128, 0.5);\">N\u00c3O TRAUM\u00c1TICAS<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr id=\"fe00a3c1-769a-4ef8-bb54-a2c3ce80f226\">\n<td id=\"[ogG\" style=\"border-color: rgba(128, 128, 128, 0.5); background-color: rgba(128, 128, 128, 0.07);\">Brevidade de cord\u00e3o<\/td>\n<td id=\"gI^J\" style=\"border-color: rgba(128, 128, 128, 0.5); background-color: rgba(128, 128, 128, 0.07);\">S\u00edndromes hipertensivas<\/td>\n<\/tr>\n<tr id=\"e628fe1e-61d4-4f83-8297-3b74eb6afa68\">\n<td id=\"[ogG\" style=\"border-color: rgba(128, 128, 128, 0.5);\">Vers\u00e3o fetal externa<\/td>\n<td id=\"gI^J\" style=\"border-color: rgba(128, 128, 128, 0.5);\">Placenta circunvalada<\/td>\n<\/tr>\n<tr id=\"c5faf5ac-af44-461c-a807-12f2d0bfbf20\">\n<td id=\"[ogG\" style=\"border-color: rgba(128, 128, 128, 0.5); background-color: rgba(128, 128, 128, 0.07);\">Retra\u00e7\u00e3o uterina intensa<\/td>\n<td id=\"gI^J\" style=\"border-color: rgba(128, 128, 128, 0.5); background-color: rgba(128, 128, 128, 0.07);\">Tabagismo e etilismo<\/td>\n<\/tr>\n<tr id=\"d3ff8977-405d-43ad-b0e4-f84cf9be9334\">\n<td id=\"[ogG\" style=\"border-color: rgba(128, 128, 128, 0.5);\">Miomatose uterina<\/td>\n<td id=\"gI^J\" style=\"border-color: rgba(128, 128, 128, 0.5);\">Anemia e m\u00e1 nutri\u00e7\u00e3o<\/td>\n<\/tr>\n<tr id=\"767f853f-7b54-40b1-bbd8-cfc5f0a69456\">\n<td id=\"[ogG\" style=\"border-color: rgba(128, 128, 128, 0.5); background-color: rgba(128, 128, 128, 0.07);\">Hipertens\u00e3o de veia cava inferior por compress\u00e3o uterina<\/td>\n<td id=\"gI^J\" style=\"border-color: rgba(128, 128, 128, 0.5); background-color: rgba(128, 128, 128, 0.07);\">Corioamnionite<\/td>\n<\/tr>\n<tr id=\"c628095b-2322-4c70-9bd7-81cd9b446f01\">\n<td id=\"[ogG\" style=\"border-color: rgba(128, 128, 128, 0.5);\">Traumatismo abdominal<\/td>\n<td id=\"gI^J\" style=\"border-color: rgba(128, 128, 128, 0.5);\">RPMO<\/td>\n<\/tr>\n<tr id=\"62133475-f129-455e-ab6a-aabeef0bc949\">\n<td id=\"[ogG\" style=\"border-color: rgba(128, 128, 128, 0.5); background-color: rgba(128, 128, 128, 0.07);\">&nbsp;<\/td>\n<td id=\"gI^J\" style=\"border-color: rgba(128, 128, 128, 0.5); background-color: rgba(128, 128, 128, 0.07);\">Trombofilias<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3><span class=\"ez-toc-section\" id=\"Clinica\"><\/span>Cl\u00ednica<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul style=\"font-size: 16px; background-color: #ffffff;\">\n<li style=\"font-size: 16px;\">Dor abdominal ou lombar *persiste entre as contra\u00e7\u00f5es.<\/li>\n<li style=\"font-size: 16px;\">Sangramento vaginal.<\/li>\n<li style=\"font-size: 16px;\">Hipertonia uterina.<\/li>\n<\/ul>\n<p>&#x26a0;&#xfe0f;&nbsp;LEMBRE-SE:&nbsp;o sangramento pode estar ausente em 20% dos casos = sangramento retroplacent\u00e1rio.<\/p>\n<h3 style=\"font-family: Poppins, sans-serif; color: #7a7a7a;\"><span class=\"ez-toc-section\" id=\"Classificacao\"><\/span>Classifica\u00e7\u00e3o<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<table id=\"b48aea63-22ea-4eac-b48d-861c7151d980\" style=\"background-color: #ffffff; width: 800.025px;\">\n<thead>\n<tr id=\"1dfdcb74-a948-487a-9de3-778532430657\">\n<th id=\"L;Gd\" style=\"border-color: rgba(128, 128, 128, 0.5);\">GRAU 0<\/th>\n<th id=\"yXv]\" style=\"border-color: rgba(128, 128, 128, 0.5);\">GRAU I<\/th>\n<th id=\"{&#96;Ro\" style=\"border-color: rgba(128, 128, 128, 0.5);\">GRAU II<\/th>\n<th id=\"WKYa\" style=\"border-color: rgba(128, 128, 128, 0.5);\">GRAU III *<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr id=\"4276597d-534e-4f8f-a6c0-1b51da014ec2\">\n<td id=\"L;Gd\" style=\"border-color: rgba(128, 128, 128, 0.5); background-color: rgba(128, 128, 128, 0.07);\">Assintom\u00e1tico<\/td>\n<td id=\"yXv]\" style=\"border-color: rgba(128, 128, 128, 0.5); background-color: rgba(128, 128, 128, 0.07);\">Leve<\/td>\n<td id=\"{&#96;Ro\" style=\"border-color: rgba(128, 128, 128, 0.5); background-color: rgba(128, 128, 128, 0.07);\">Intermedi\u00e1rio<\/td>\n<td id=\"WKYa\" style=\"border-color: rgba(128, 128, 128, 0.5); background-color: rgba(128, 128, 128, 0.07);\">Grave<\/td>\n<\/tr>\n<tr id=\"4857fe80-8f51-4e0b-a2ab-32073fc22e13\">\n<td id=\"L;Gd\" style=\"border-color: rgba(128, 128, 128, 0.5);\">Diagn\u00f3stico retrospectivo pelo histopatol\u00f3gico da placenta<\/td>\n<td id=\"yXv]\" style=\"border-color: rgba(128, 128, 128, 0.5);\">Sangramento discreto + dor ausente<\/td>\n<td id=\"{&#96;Ro\" style=\"border-color: rgba(128, 128, 128, 0.5);\">Sangramento moderado + hipertonia uterina + dor<\/td>\n<td id=\"WKYa\" style=\"border-color: rgba(128, 128, 128, 0.5);\">Sangramento importante + hipertonia uterina + dor<\/td>\n<\/tr>\n<tr id=\"94a8c851-e61b-400f-a3cc-13217aa3a14d\">\n<td id=\"L;Gd\" style=\"border-color: rgba(128, 128, 128, 0.5); background-color: rgba(128, 128, 128, 0.07);\">\u00a0<\/td>\n<td id=\"yXv]\" style=\"border-color: rgba(128, 128, 128, 0.5); background-color: rgba(128, 128, 128, 0.07);\">Vitalidade fetal preservada<\/td>\n<td id=\"{&#96;Ro\" style=\"border-color: rgba(128, 128, 128, 0.5); background-color: rgba(128, 128, 128, 0.07);\">Taquicardia materna<\/td>\n<td id=\"WKYa\" style=\"border-color: rgba(128, 128, 128, 0.5); background-color: rgba(128, 128, 128, 0.07);\">Hipotens\u00e3o materna<\/td>\n<\/tr>\n<tr id=\"b7ba3b98-11b5-4bd2-91e3-808e2b70e2ab\">\n<td id=\"L;Gd\" style=\"border-color: rgba(128, 128, 128, 0.5);\">\u00a0<\/td>\n<td id=\"yXv]\" style=\"border-color: rgba(128, 128, 128, 0.5);\">\u00a0<\/td>\n<td id=\"{&#96;Ro\" style=\"border-color: rgba(128, 128, 128, 0.5);\">Sofrimento fetal<\/td>\n<td id=\"WKYa\" style=\"border-color: rgba(128, 128, 128, 0.5);\">\u00d3bito fetal<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&#x1f4d6; *&nbsp;DPP GRAU III&nbsp;pode ser dividida em:&nbsp;GRAU IIIA =&nbsp;SEM coagulopatia instalada&nbsp;GRAU IIIB =&nbsp;COM coagulopatia instalada.<\/p>\n<h3 style=\"font-family: Poppins, sans-serif; color: #7a7a7a;\"><span class=\"ez-toc-section\" id=\"Conduta\"><\/span>Conduta<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Assim, diante de uma DPP, devemos prosseguir com as\u00a0manobras iniciais para ressuscita\u00e7\u00e3o:<\/p>\n<ul style=\"font-size: 16px; background-color: #ffffff;\">\n<li style=\"font-size: 16px;\">Verificar se vias a\u00e9reas est\u00e3o p\u00e9rvias, checar respira\u00e7\u00e3o e circula\u00e7\u00e3o.<\/li>\n<li style=\"font-size: 16px;\">Garantir 2 acessos venosos calibrosos e iniciar hidrata\u00e7\u00e3o EV.<\/li>\n<\/ul>\n<p>Ademais, devemos garantir monitoriza\u00e7\u00e3o fetal.<\/p>\n<p>&#x1f9ea;&nbsp;EXAMES PARA SOLICITAR:<\/p>\n<ul style=\"font-size: 16px; background-color: rgb(255, 255, 255);\">\n<li style=\"font-size: 16px;\">Hemograma completo<\/li>\n<li style=\"font-size: 16px;\">Tipagem sangu\u00ednea ABO e Rh<\/li>\n<li style=\"font-size: 16px;\">Coagulograma<\/li>\n<li style=\"font-size: 16px;\">Rotina de pr\u00e9-ecl\u00e2mpsia<\/li>\n<\/ul>\n<p>Dessa forma, exames de imagem podem ser \u00fateis para localizar a placenta e afastar placenta pr\u00e9via mas s\u00e3o pouco \u00fateis no diagn\u00f3stico.<\/p>\n<table id=\"ec9f02c2-c4a6-4ce1-83fd-305cb11cc7df\" style=\"background-color: rgb(255, 255, 255); width: 800.025px;\">\n<thead>\n<tr id=\"05eac4f2-0df6-4a4f-9fa9-427b10d7fdaf\">\n<th id=\"[vck\" style=\"border-color: rgba(128, 128, 128, 0.5);\">FETO VIVO<\/th>\n<th id=\"Lv=Y\" style=\"border-color: rgba(128, 128, 128, 0.5);\">FETO MORTO<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr id=\"d359800f-42d5-49ab-8216-062367b00f51\">\n<td id=\"[vck\" style=\"border-color: rgba(128, 128, 128, 0.5); background-color: rgba(128, 128, 128, 0.07);\">Parto iminente = vaginal<\/td>\n<td id=\"Lv=Y\" style=\"border-color: rgba(128, 128, 128, 0.5); background-color: rgba(128, 128, 128, 0.07);\">Parto iminente e feto baixo = vaginal<\/td>\n<\/tr>\n<tr id=\"69f7f650-2509-432e-926b-0affe49ffcb8\">\n<td id=\"[vck\" style=\"border-color: rgba(128, 128, 128, 0.5);\">Aus\u00eancia de trabalho de parto = ces\u00e1rea<\/td>\n<td id=\"Lv=Y\" style=\"border-color: rgba(128, 128, 128, 0.5);\">Parto n\u00e3o iminente e feto alto = ces\u00e1rea<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2><span class=\"ez-toc-section\" id=\"Placenta_previa_PP\"><\/span><strong>Placenta pr\u00e9via (PP)<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Desse modo, chamamos de PP a<strong> implanta\u00e7\u00e3o de qualquer parte da placenta no segmento inferior do \u00fatero com &gt; 28 semanas.<\/strong> O diagn\u00f3stico s\u00f3 \u00e9 feito ap\u00f3s esse per\u00edodo, pois at\u00e9 l\u00e1 a placenta pode migrar.<\/p>\n<p>\u00a0<\/p>\n<p>A placenta busca se implantar nos locais mais vascularizados do \u00fatero, a implanta\u00e7\u00e3o em um local an\u00f4malo geralmente resulta de uma\u00a0decidualiza\u00e7\u00e3o pobre do \u00fatero\u00a0e pode ser causada por hip\u00f3xia relativa, relacionada ao\u00a0tabagismo.<\/p>\n<h2 style=\"font-family: Poppins, sans-serif; color: rgb(122, 122, 122);\"><span class=\"ez-toc-section\" id=\"Tipos_de_Implantacao_Placentaria\"><\/span>Tipos de Implanta\u00e7\u00e3o Placent\u00e1ria<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<table id=\"a0bde9e0-0444-41d6-9117-8bfd29fb055e\" style=\"background-color: rgb(255, 255, 255); width: 800.025px;\">\n<tbody>\n<tr id=\"0e2ca5ce-641e-420d-9dc0-c8bf2b244046\">\n<td id=\"Zpwv\" style=\"border-color: rgba(128, 128, 128, 0.5); background-color: rgba(128, 128, 128, 0.07);\">T\u00d3PICA<\/td>\n<td id=\"{ARS\" style=\"border-color: rgba(128, 128, 128, 0.5); background-color: rgba(128, 128, 128, 0.07);\">HETEROT\u00d3PICA<\/td>\n<td id=\"itLn\" style=\"border-color: rgba(128, 128, 128, 0.5); background-color: rgba(128, 128, 128, 0.07);\">ECT\u00d3PICA<\/td>\n<\/tr>\n<tr id=\"666d997d-9efd-4e15-94c1-a11811893aaa\">\n<td id=\"Zpwv\" style=\"border-color: rgba(128, 128, 128, 0.5);\">Normal<\/td>\n<td id=\"{ARS\" style=\"border-color: rgba(128, 128, 128, 0.5);\">Local an\u00f4malo<\/td>\n<td id=\"itLn\" style=\"border-color: rgba(128, 128, 128, 0.5);\">Fora do \u00fatero<\/td>\n<\/tr>\n<tr id=\"039fc585-ebfe-4ec4-8796-52b0a02338b3\">\n<td id=\"Zpwv\" style=\"border-color: rgba(128, 128, 128, 0.5); background-color: rgba(128, 128, 128, 0.07);\">Segmento corporal<\/td>\n<td id=\"{ARS\" style=\"border-color: rgba(128, 128, 128, 0.5); background-color: rgba(128, 128, 128, 0.07);\">Angular ou cornual<\/td>\n<td id=\"itLn\" style=\"border-color: rgba(128, 128, 128, 0.5); background-color: rgba(128, 128, 128, 0.07);\">&nbsp;<\/td>\n<\/tr>\n<tr id=\"e9c16997-c00a-4138-9c0e-ed7a5df83c81\">\n<td id=\"Zpwv\" style=\"border-color: rgba(128, 128, 128, 0.5);\">&nbsp;<\/td>\n<td id=\"{ARS\" style=\"border-color: rgba(128, 128, 128, 0.5);\">Baixa<\/td>\n<td id=\"itLn\" style=\"border-color: rgba(128, 128, 128, 0.5);\">&nbsp;<\/td>\n<\/tr>\n<tr id=\"526188ea-59e9-4cca-a579-e1c12b4c72f2\">\n<td id=\"Zpwv\" style=\"border-color: rgba(128, 128, 128, 0.5); background-color: rgba(128, 128, 128, 0.07);\">&nbsp;<\/td>\n<td id=\"{ARS\" style=\"border-color: rgba(128, 128, 128, 0.5); background-color: rgba(128, 128, 128, 0.07);\">Cervical<\/td>\n<td id=\"itLn\" style=\"border-color: rgba(128, 128, 128, 0.5); background-color: rgba(128, 128, 128, 0.07);\">&nbsp;<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3 style=\"font-family: Poppins, sans-serif; color: #7a7a7a;\"><span class=\"ez-toc-section\" id=\"Classificacao-2\"><\/span><strong>Classifica\u00e7\u00e3o<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<table id=\"7663e6a9-c1d7-4423-ad6e-ff395ecb5105\" style=\"background-color: #ffffff; width: 800.025px;\">\n<tbody>\n<tr id=\"1fea289a-390f-47b6-bd4b-4252bfa5c861\">\n<td id=\"Ul^F\" style=\"border-color: rgba(128, 128, 128, 0.5); background-color: rgba(128, 128, 128, 0.07);\">COMPLETA<\/td>\n<td id=\"AM;n\" style=\"border-color: rgba(128, 128, 128, 0.5); background-color: rgba(128, 128, 128, 0.07);\">PARCIAL<\/td>\n<td id=\"P[[v\" style=\"border-color: rgba(128, 128, 128, 0.5); background-color: rgba(128, 128, 128, 0.07);\">MARGINAL<\/td>\n<td id=\"btLS\" style=\"border-color: rgba(128, 128, 128, 0.5); background-color: rgba(128, 128, 128, 0.07);\">BAIXA OU LATERAL<\/td>\n<\/tr>\n<tr id=\"a2ee79cf-2e80-4464-bfd9-ccfa45feeb54\">\n<td id=\"Ul^F\" style=\"border-color: rgba(128, 128, 128, 0.5);\">Recobre totalmente o orif\u00edcio interno do colo<\/td>\n<td id=\"AM;n\" style=\"border-color: rgba(128, 128, 128, 0.5);\">Recobre parcialmente o OI do colo<\/td>\n<td id=\"P[[v\" style=\"border-color: rgba(128, 128, 128, 0.5);\">Tangencia a borda do OI, sem ultrapassar<\/td>\n<td id=\"btLS\" style=\"border-color: rgba(128, 128, 128, 0.5);\">N\u00e3o alcan\u00e7a o OI<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3 style=\"font-family: Poppins, sans-serif; color: #7a7a7a;\"><span class=\"ez-toc-section\" id=\"Clinica-2\"><\/span>Cl\u00ednica<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>&#x26a0;&#xfe0f; Sangramento na 2\u00aa metade da gesta\u00e7\u00e3o, vivo, indolor + in\u00edcio e cessar s\u00fabito + sem outros sintomas.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Conduta-2\"><\/span>Conduta<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>A\u00a0USG\u00a0\u00e9 a melhor forma de diagn\u00f3stico. Sendo assim,\u00a0o parto vaginal\u00a0\u00e9 permitido se a borda placent\u00e1ria estiver a uma dist\u00e2ncia &gt; 2 cm do OI do colo, ou seja, nos casos de\u00a0PP marginal ou baixa. Portanto, uma margem &lt; 4 cm do OI prenuncia hemorragia expressiva no p\u00f3s-parto.<\/p>\n<p>&#x1f9ea;&nbsp;EXAMES PARA SOLICITAR:<\/p>\n<ul style=\"font-size: 16px; background-color: rgb(255, 255, 255);\">\n<li style=\"font-size: 16px;\">Hb e HT<\/li>\n<li style=\"font-size: 16px;\">Tipagem sangu\u00ednea ABO e Rh<\/li>\n<li style=\"font-size: 16px;\">Coagulograma<\/li>\n<\/ul>\n<p>A melhor conduta \u00e9 definida de acordo com a intensidade do sangramento e a condi\u00e7\u00e3o da m\u00e3e. Em&nbsp;prematuros,&nbsp;se n\u00e3o houver sangramento, devemos&nbsp;expectar, orientar n\u00e3o manter rela\u00e7\u00f5es sexuais e considerar o uso de corticoide para matura\u00e7\u00e3o pulmonar&nbsp;fetal. Nos casos&nbsp;a termo, a interrup\u00e7\u00e3o&nbsp;\u00e9 recomendada e a via de parto varia de acordo com a inser\u00e7\u00e3o.<\/p>\n<p>Aprendeu a diferenciar DPP e PP? Abaixo temos uma tabela que pode te ajudar. N\u00e3o esquece de tirar print para guardar. Bons estudos!<\/p>\n<p><\/p>\n<table id=\"d4d66cc4-c5c0-4ca5-b560-274b945a0c83\">\n<thead>\n<tr id=\"15197fa0-6ae3-4cb7-a7b5-27bb9ded90e8\">\n<th id=\"=j|}\">&nbsp;<\/th>\n<th id=\"F>yf&#8221;>DPP<\/th>\n<th id=\"DDT]\">PP<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr id=\"b97bcbdb-8580-4741-9da0-9365a0d6e42d\">\n<th id=\"=j|}\">in\u00edcio<\/th>\n<td id=\"F>yf&#8221;>s\u00fabito + grave<\/td>\n<td id=\"DDT]\">insidioso + gravidade progressiva<\/td>\n<\/tr>\n<tr id=\"ea414c9b-36d3-414d-b65f-93a2d49ecef6\">\n<th id=\"=j|}\">hemorragia<\/th>\n<td id=\"F>yf&#8221;>\u00fanica, dolorosa, oculta (20%)<\/td>\n<td id=\"DDT]\">vis\u00edvel, de repeti\u00e7\u00e3o, indolor<\/td>\n<\/tr>\n<tr id=\"027d5048-b0e1-4e99-ba17-762b3878bd8c\">\n<th id=\"=j|}\">dor<\/th>\n<td id=\"F>yf&#8221;>presente<\/td>\n<td id=\"DDT]\">ausente<\/td>\n<\/tr>\n<tr id=\"a00ebf29-9987-4f2b-9a41-caaf5daac5fe\">\n<th id=\"=j|}\">sangue<\/th>\n<td id=\"F>yf&#8221;>escuro<\/td>\n<td id=\"DDT]\">vivo<\/td>\n<\/tr>\n<tr id=\"5815d54d-f01b-4c0c-986e-6e037dd44c59\">\n<th id=\"=j|}\">anemia<\/th>\n<td id=\"F>yf&#8221;>+ grave que a perda de sangue aparente<\/td>\n<td id=\"DDT]\">proporcional \u00e0 perda de sangue<\/td>\n<\/tr>\n<tr id=\"e6cdc90b-fe96-4458-8386-ff3e215e6f82\">\n<th id=\"=j|}\">SF<\/th>\n<td id=\"F>yf&#8221;>grave e precoce<\/td>\n<td id=\"DDT]\">ausente ou tardio<\/td>\n<\/tr>\n<tr id=\"85a310bf-b484-4ce6-894b-6c14bdee79e9\">\n<th id=\"=j|}\">hipertonia<\/th>\n<td id=\"F>yf&#8221;>t\u00edpica<\/td>\n<td id=\"DDT]\">ausente<\/td>\n<\/tr>\n<tr id=\"f389a583-3f40-46ce-a003-2ddbaaf8c2e7\">\n<th id=\"=j|}\">hipertens\u00e3o<\/th>\n<td id=\"F>yf&#8221;>t\u00edpica<\/td>\n<td id=\"DDT]\">rara<\/td>\n<\/tr>\n<tr id=\"467a6203-8f58-4f23-9cee-f3ecffeafa46\">\n<th id=\"=j|}\">amniotomia<\/th>\n<td id=\"F>yf&#8221;>n\u00e3o altera hemorragia, reduz risco de CID<\/td>\n<td id=\"DDT]\">diminui hemorragia (compress\u00e3o placent\u00e1ria pelo polo fetal)<\/td>\n<\/tr>\n<tr id=\"7f0ad1ed-c269-46d8-8ba8-38407f836d24\">\n<th id=\"=j|}\">metross\u00edstole<\/th>\n<td id=\"F>yf&#8221;>diminui a hemorragia<\/td>\n<td id=\"DDT]\">aumenta a hemorragia<\/td>\n<\/tr>\n<tr id=\"791b3397-1643-4fd5-bf0e-47733f37d95d\">\n<th id=\"=j|}\">USG<\/th>\n<td id=\"F>yf&#8221;>pode ser normal = dispens\u00e1vel<\/td>\n<td id=\"DDT]\">confirma dg<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Quer saber mais sobre a \u00e1rea m\u00e9dica atrav\u00e9s dos nossos podcasts dispon\u00edveis no&nbsp;<a href=\"https:\/\/www.youtube.com\/@GrupoMedcof\/videos\" target=\"_blank\" rel=\"noopener\" style=\"background-color: rgb(255, 255, 255);\">Youtube<\/a>? L\u00e1 voc\u00ea poder\u00e1 ver o Papo de Aprovado, de Residente e de Dermato, al\u00e9m de diversas corre\u00e7\u00f5es das provas de resid\u00eancia e novidades m\u00e9dicas.<\/p>\n<section style=\"flex-basis: var(--flex-basis); flex-grow: var(--flex-grow); flex-shrink: var(--flex-shrink); order: var(--order); align-self: var(--align-self); --swiper-theme-color: #000; --swiper-navigation-size: 44px; --swiper-pagination-bullet-size: 6px; --swiper-pagination-bullet-horizontal-gap: 6px; --widgets-spacing: 10px;\" data-id=\"1a5ae50\" data-element_type=\"section\"><strong>Grupo MedCof<\/strong><\/section>\n<section style=\"flex-basis: var(--flex-basis); flex-grow: var(--flex-grow); flex-shrink: var(--flex-shrink); order: var(--order); align-self: var(--align-self); --swiper-theme-color: #000; --swiper-navigation-size: 44px; --swiper-pagination-bullet-size: 6px; --swiper-pagination-bullet-horizontal-gap: 6px; --widgets-spacing: 10px;\" data-id=\"5f13890\" data-element_type=\"section\">\n<p><a href=\"https:\/\/www.grupomedcof.com.br\/\" target=\"_blank\" rel=\"noopener\">Conhe\u00e7a o Grupo MedCof<\/a>\u00a0e como conseguimos aprovar milhares de m\u00e9dicos nas melhores institui\u00e7\u00f5es do pa\u00eds<\/p>\n<\/section>\n<p>https:\/\/youtu.be\/V0ExWLs5dNE\t\t<\/p>\n<section style=\"flex-basis: var(--flex-basis); flex-grow: var(--flex-grow); flex-shrink: var(--flex-shrink); order: var(--order); align-self: var(--align-self); --swiper-theme-color: #000; --swiper-navigation-size: 44px; --swiper-pagination-bullet-size: 6px; --swiper-pagination-bullet-horizontal-gap: 6px; --widgets-spacing: 10px;\" data-id=\"1a5ae50\" data-element_type=\"section\">\n<h2><span class=\"ez-toc-section\" id=\"Conquiste_a_aprovacao\"><\/span><strong>Conquiste a aprova\u00e7\u00e3o!<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<\/section>\n<section style=\"flex-basis: var(--flex-basis); flex-grow: var(--flex-grow); flex-shrink: var(--flex-shrink); order: var(--order); align-self: var(--align-self); --swiper-theme-color: #000; --swiper-navigation-size: 44px; --swiper-pagination-bullet-size: 6px; --swiper-pagination-bullet-horizontal-gap: 6px; --widgets-spacing: 10px;\" data-id=\"5f13890\" data-element_type=\"section\">A\u00a0<a href=\"https:\/\/www.grupomedcof.com.br\/\" target=\"_blank\" rel=\"noopener\">Medcof<\/a>\u00a0tem um cat\u00e1logo repleto de cursos que te guiar\u00e3o na jornada \u00e0 Resid\u00eancia M\u00e9dica dos sonhos, inclusive um que te oferece as Fichas Resumo MedCof! Feitas pelos nossos especialistas, elas te poupar\u00e3o tempo durante os estudos! Confira ent\u00e3o os nossos cursos e seja<a href=\"https:\/\/www.grupomedcof.com.br\/blog\/presenca-da-medcof-nas-aprovacoes-em-residencia-medica-no-brasil\/\">\u00a0mais um aprovado<\/a>\u00a0nas melhores institui\u00e7\u00f5es do pa\u00eds!<\/section>\n<p>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"397\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2023\/03\/aprovados-1024x508.png\" alt=\"Aprovados medcof\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2023\/03\/aprovados-1024x508.png 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2023\/03\/aprovados-300x149.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2023\/03\/aprovados-768x381.png 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2023\/03\/aprovados.png 1436w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Sangramentos na gesta\u00e7\u00e3o: parte 2: Voltando a comentar sobre uma das grandes \u00e1reas cobradas nas provas de resid\u00eancia, vamos dar continuidade ao estudo dos sangramentos na gesta\u00e7\u00e3o, bem como os descolamentos de placenta.\u00a0Dessa vez, vamos falar dos\u00a0sangramentos da 2\u00aa metade da gesta\u00e7\u00e3o. Leia a seguir Sangramentos na gesta\u00e7\u00e3o: parte 2 Sendo assim, diante de um [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":7416,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[125],"tags":[152,126],"ppma_author":[3609],"class_list":{"0":"post-7381","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-ginecologia-e-obstetricia","8":"tag-ginecologia-e-obstetricia","9":"tag-sangramento-gestacional"},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v24.3 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Sangramentos na gesta\u00e7\u00e3o: parte 2 - Blog de Medcof: conte\u00fados, editais, revalida e mais!<\/title>\n<meta name=\"description\" content=\"Uma das grandes \u00e1reas cobradas nas provas de resid\u00eancia, saiba mais sobre sangramentos na gesta\u00e7\u00e3o, bem como descolamentos de placenta.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/sangramentos-na-gestacao-parte-2\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Sangramentos na gesta\u00e7\u00e3o: parte 2\" \/>\n<meta property=\"og:description\" content=\"Uma das grandes \u00e1reas cobradas nas provas de resid\u00eancia, saiba mais sobre sangramentos na gesta\u00e7\u00e3o, bem como descolamentos de placenta.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.grupomedcof.com.br\/blog\/sangramentos-na-gestacao-parte-2\/\" \/>\n<meta property=\"og:site_name\" content=\"Blog de Medcof: conte\u00fados, editais, revalida e mais!\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/MedCofQbank\/\" \/>\n<meta property=\"article:published_time\" content=\"2023-05-24T16:44:31+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2023\/05\/Blog-MedCof-18-1024x576.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1024\" \/>\n\t<meta property=\"og:image:height\" content=\"576\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"J\u00falia Moreira\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"J\u00falia Moreira\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. tempo de leitura\" \/>\n\t<meta name=\"twitter:data2\" content=\"8 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/sangramentos-na-gestacao-parte-2\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/sangramentos-na-gestacao-parte-2\\\/\"},\"author\":{\"name\":\"J\u00falia Moreira\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#\\\/schema\\\/person\\\/1375e0ce724529d7a1d8156ea7f8ceaa\"},\"headline\":\"Sangramentos na gesta\u00e7\u00e3o: parte 2\",\"datePublished\":\"2023-05-24T16:44:31+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/sangramentos-na-gestacao-parte-2\\\/\"},\"wordCount\":999,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/sangramentos-na-gestacao-parte-2\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/wp-content\\\/uploads\\\/2023\\\/05\\\/Blog-MedCof-18.png\",\"keywords\":[\"Ginecologia e Obstetr\u00edcia\",\"Sangramento gestacional\"],\"articleSection\":[\"Ginecologia e Obstetr\u00edcia\"],\"inLanguage\":\"pt-BR\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/sangramentos-na-gestacao-parte-2\\\/\",\"url\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/sangramentos-na-gestacao-parte-2\\\/\",\"name\":\"Sangramentos na gesta\u00e7\u00e3o: parte 2 - 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