8.1 Antepartum haemorrhage

Question 1

treatment

Answer 1

Commence transport as soon as possible, providing most treatments en route.
* Tilt the patient 30° to their left to prevent supine hypotension.
* Seek help from an LMC if possible, provided this does not delay transport.
* Gain IV access.
* Administer 0.9% sodium chloride IV if the patient has signs of hypovolaemia or poor perfusion:
a) Administer 500 ml of 0.9% sodium chloride IV.
b) Repeat as required.
* Administer 1 g of tranexamic acid if IV fluid is administered for signs of hypovolaemia or poor perfusion.
* Arrange for blood to be administered if shock is severe and there is an established protocol in the area for blood to be delivered to the scene.

Question 2

Placental abruption usually causes

Answer 2

abdominal pain without significant vaginal blood loss.

Question 3

Placenta praevia usually causes

Answer 3

vaginal blood loss without significant abdominal pain.