A woman presented in the antenatal assessment unit. She is gravida 4, para 1, having had a normal vaginal delivery 3 years ago, a first-trimester miscarriage and two first- trimester terminations. She is currently 26 weeks’ gestation. One week ago she was seen because she experienced vaginal bleeding.
At the time a small cervical ectropion had been noticed and as the bleed had occurred postcoitally, it was assumed likely to be secondary to the ectropion. However, as per protocol, she had vaginal and endocervical swabs sent and a full blood count and group and save sample requested. Investigations: Haemoglobin: 10.1 g/dL Mean cell volume: 76 fL White cell count: 8.0/nL Platelets: 183/nL Blood group: A positive No atypical antibodies detected Endocervical swab: chlamydia negative, gonorrhoea negative High vaginal swab: candida – small numbers identified Group B streptococcus: positive…
