Protocol for Management of Antepartum Haemorrhage

Protocol for Management of
Antepartum Haemorrhage

1. Protocol for
Management of
Antepartum
Haemorrhage
Aboubakr Elnashar
Benha university hospital,
Egypt
ABOUBAKR ELNASHAR

2. BACKGROUND
Incidence:
2-5% of pregnancies
Definition
bleeding from the genital tract after the 20th w of
pregnancy and before labour.
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3. CAUSES

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10. MANAGEMENT
ASSESSMENT OF SEVERITY
There are no consistent definitions of severity of an APH, however RCOG
defines blood loss by a combination of volume and signs of clinical shock to
guide management
1. Spotting – staining, streaking or blood spotting
noted on underwear or sanitary protection
2. Minor Hge:
blood loss less than 50 mL that has settled
Major Hge
blood loss of 50 – 1000 mL, with no signs of clinical
shock
Massive Hge
blood loss greater than 1000 mL and/or signs of
clinical shock
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11. DIAGNOSIS
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