minor APH

Last reviewed 01/2018

General:

• if still at home, keep patient at rest, quiet and flat on left-hand side
• do not perform a digital examination
• refer to hospital

In hospital

• history and examination
• do not perform digital examination - in case of placenta praevia
• observe regularly - CTG to monitor fetal well being
• check heamoglobin, platelets, clotting, and group and save serum
• consider IV access
• arrange ultrasound scan
• give anti-D to rhesus negative mothers
• follow obstetric unit protocol re: steroid prophylaxis against hyaline membrane disease
• further management dependent on cause