- HD unstable --> A-E, resuscitation - HD stable --> thorough history, abdo. exam, speculum - AVOID BIMANUAL IN PLACENTA PREVIAE - exclude with USS - chlamydia test - CTG foetal monitoring - Antenatal corticosteroids if between 24-34 weeks - Admit for obs - swab from posterior fornix/fibronectin - IV access : Group and save, crossmatch Full blood count Coagulation screen Urea and electrolytes LFTs Kleihauer test should be taken in rhesus negative women to determine the dose of anti-D immunoglobulin required.

APH counselling Flashcards by makeen baroudi

What are the 3 main causes of early bleeding in preg. lady?

Implantation

Ectopic

Misscarriage

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What is the 4 main causes of late bleeding in preg. lady?

Labour

Placenta abruption

Placenta praevia

Vasa preaevia

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Assessment of APH

HD unstable –> A-E, resuscitation
HD stable –> thorough history, abdo. exam, speculum
AVOID BIMANUAL IN PLACENTA PREVIAE - exclude with USS
chlamydia test
CTG foetal monitoring
Antenatal corticosteroids if between 24-34 weeks
Admit for obs
swab from posterior fornix/fibronectin
IV access :
Group and save, crossmatch
Full blood count
Coagulation screen
Urea and electrolytes
LFTs
Kleihauer test should be taken in rhesus negative women to determine the dose of anti-D immunoglobulin required.

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delivery

grade III/IV praevia require c-sec

vaginal for dead foetus

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APH counselling Flashcards

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