Antepartum Haemorrhage

Question 1

Antepartum Haemorrhage is

Answer 1

vaginal bleeding from 24 wks-delivery

Question 2

Placental Causes

Answer 2

Placental Abruption
Placenta Previa
Vasa Previa

Question 3

Placental Abruption

Answer 3

Premature separation of placenta

Question 4

Placenta previa

Answer 4

Placenta covers cerivcal os

Question 5

Risk factors for placenta previa

Answer 5

Multi preg
Prev CS
Uterine anomaly
Assisted conception

Question 6

Vasa previa

Answer 6

Fetal vessel cross over fetal membranes above cervical os

Question 7

Why vasa previa is dangerous

Answer 7

increase perinatal mortality

Question 8

Vasa previa solution

Answer 8

Emergency CS

Question 9

Local Causes of antepartum haemorrhage

Answer 9

Cervicitis
Cervical ectropion
Cervical carcinoma
Vaginal Trauma
Vaginal Infection

Question 10

What to ask pt in Hx

Answer 10

How much blood?
Any triggering factors
Pain/COntractions
Baby movement
Last cervical smear

Question 11

What to check in exam

Answer 11

Pulse
BP
Uterus (soft/tender/firm)
CTG
Speculum Vaginal exam

Question 12

Investigations

Answer 12

CBC
Clotting
U/S scan

Question 13

Management of Bleeding if suspected placental abruption

Answer 13

Hospital Admission for 48 hrs

Question 14

Placenta previa Management

Answer 14

Admit until delivery

Question 15

If G.A is less than 34 wks

Answer 15

GIve Steroids

Question 16

If Rh -ve

Answer 16

Do Keilhauer test
Administer Anti-D

Question 17

Keilhauer test

Answer 17

Check if and how much fetal blood has leaked into maternal circulation