major APH

Last reviewed 01/2018

The management of major antepartum haemorrhage includes:

• admit through flying squad
• check haemoglobin, clotting
• continuous CTG monitoring
• cross-match blood
• establish IV access
• monitor fluid balance
• CVP line, urinary catheter
• urgent ultrasound scan (possible only if clinical situation allows)
• do not perform vaginal examination - in case of placenta praevia
• transfuse if necessary
• sedate if necessary
• if fetus is alive perform an emergency caesarian section