antepartum haemorrhage Flashcards
1
Q
define APH
A
Bleeding from the genital tracks at >24 weeks gestation
Minor haemorrhage: <50mls of blood loss
Major haemorrhage: 50-1000 mls of blood loss
Massive haemorrhage: >1000mls of blood loss, or signs of shock
2
Q
what laboratory investigations should be done for those with APH
A
Full blood count, urea and electrolytes and LFTs: helps to exclude hypertensive conditions such as HELLP or pre-eclampsia
Clotting profile
Kleihauer test
Group and save, and crossmatch
3
Q
what should be given to all those with APH within 72 hours
A
Rhesus-D negative women require anti-D prophylaxis in all cases of APH
dose determined by Kleihauer test
3
Q
what are the 3 most important causes of APH to consider
A
placenta praevia
vasa praevia
placental abruption
