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NB - Emergency
NON- SPECIALIST HOSPITAL trolley ready at all
times (Checked by
sister at every shift &
• History by doctor daily)
• Vital signs/Pain assessment
The serious causes of APH are: • Estimate blood loss
Placenta Praevia • Abdominal palpation (gentle)
Placenta Abruption • *Emergency trolley
Vass Praevia (rare) • IV Cannula (16g)
• Collect blood for: Hb, Group & cross Match
• IV Fluids if necessary
Is there danger to mother or fetal distress?
YES NO
• Resuscitate
• Communicate and transfer to specialist • 24 hours observation of mother and baby in hospital
hospital promptly • Refer to Specialist Hospital for further assessment and care
• Accompanied by doctor / Midwife • Advise patients regarding;
9 Importance of further investigation in Specialist Hospital (E.g.: Ultrasound examination)
9 Warning signs-
Decrease fetal movements.
Further bleeding
Abdominal pain
NB - Emergency trolley
SPECIALIST HOSPITAL ready at all times
(Checked by sister at
every shift & by doctor
Assessment daily)
History
Vital signs/Pain assessment
The serious causes of APH are: Estimate blood loss
Placenta Praevia Abdominal palpation (gentle) o *Emergency trolley
Placenta Abruption o IV Cannula (16g)
Vass Praevia (rare) o Collect blood for: Hb, Group & X Match
o FMH test in Rh neg (Ideal)
Is there danger to mother or fetal distress?
Yes NO
YES