Minor Antepartum haemorrhage

Question 1

Limited APH

Answer 1

bleeding is minor and settling, no signs of compromise of mother or fetus

Question 2

Maternal management

Answer 2

1. FBC
2. Kleihauer testing
3. Group and save serum
4. Coagulation screening - in suspected cases of abruption

Question 3

Fetal management

Answer 3

1. Ultrasound to establish fetal well being and confirm placental location
2. Umbilical artery doppler measurement - function of placenta may be compromised by small abruption

Question 4

Management of mother with APH after discharge

Answer 4

1. High risk of APH thus increased surveillance of mother and feetus
   2, History of APH - increases risk of PPH