Antipartum Heammorhage Flashcards
WHAT IS ANTEPARTUM HAEMORRHAGE ?
GENITAL TRACT BLEEDING >24 OF GESTATION UNTIL LABOUR
SIGNS AND SYMPTOMS OF ANTEPARTUM HAEMORRHAGE CAUSED BY PLACENTA PRAEVIA ?
USUALLY PAINLESS BLEEDING / SOFT UTERUS
SIGNS OF HYPOVOLEMIA
CONDITION OF FETUS IS VARIABLE
ANTEPARTUM HAEMORRHAGE CAUSED BY PLACENTA PRAEVIA. WHAT ARE THE RISK FACTORS?
LOW LYING PLACENTA
PREVIOUS UTERINE SURGERY
IVF
ANTEPARTUM HAEMORRHAGE
SIGNS AND SYMPTOMS
PLACENTAL ABRUPTION
SIGNS OF HYPOVOLEMIA
CONSTANT SEVERE PAIN
“WOODY” ABDOMEN
CONCEALED / VISIBLE BLEEDING
FETAL COMPROMISE
ANTEPARTUM HAEMORRHAGE
RISK FACTORS
PLACENTAL ABRUPTION
PREVIOUS ABRUPTION
HYPERTENSION
PRE-ECLAMPSIA
COCAINE USE
ABDO-TRAUMA
SMOKING
GRAND MULTIPARITY
FETAL GROWTH RESTRICTION
ANTEPARTUM HAEMORRHAGE
UTERINE RUPTURE
SIGNS AND SYMPTOMS
CONTRACTIONS STOP
SUDDEN ONSET OF PAIN
FETAL COMPROMISE
VISIBLE FETAL PARTS ABDOMINALLY
CONCEALED/REVEALED BLEEDING
SIGNS OF HYPOVOLEMIA
BLOOD IN URINE
ANTEPARTUM HAEMORRHAGE
UTERINE RUPTURE
RISKS
PREVIOUS UTERINE SCAR
TRAUMA
HIGH PARITY
OBSTRUCTED LABOUR
OXYTOCIN
ANTEPARTUM HAEMORRHAGE
VASA PREVIA
SIGNS AND SYMPTOMS
PV BLEED POST MEMBRANE RUPTURE
NO PAIN
SEVERE FETAL COMPROMISE
ANTEPARTUM HAEMORRHAGE
RISK FACTORS
VASA PRAEVIA
LOW LYING PLACENTA
SUCCENTURIATE LOBE
VELAMENTOUS CORD INSERTION
MANAGEMENT OF ANTEPARTUM HAEMORRHAGE
LIE THE WOMAN IN LEFT LATERAL
CLINICAL OBSERVATIONS
SITE 2 LARGE BORE CANNULAS
URGENT BLOOD SAMPLE
RAPID FLUID RESUSCITATION WITH 2 LITRES OF CRYSTALLOID (IDEALLY WARM).
O-NEG BLOOD/FRESH FROZEN PLASMA
ASSESS FETAL WELL-BEING
EMOTIONAL SUPPORT
CLINICAL HISTORY
EBL- KEEP CLOTHES/PADS/SHEETS
SHOULD A PATIENT WITH A ANTEPARTUM HAEMORRHAGE BE TRANSFERRED? SHOULD YOU PRE-ALERT?
YES IMMEDIATELY AND DO A PRE-ALERT TO A MATERNITY UNIT.
WHAT IS THE MOST EFFECTIVE WAY OF CONTROLLING A BLEED WITH AN ANTEPARTUM HAEMORRHAGE
BIRTHING THE BABY AND THE PLACENTA.
