Protocol for Management of Antepartum Haemorrhage
-
Upload
aboubakr-elnashar -
Category
Health & Medicine
-
view
1.473 -
download
4
Transcript of Protocol for Management of Antepartum Haemorrhage
Protocol for
Management of
Antepartum
Haemorrhage Aboubakr Elnashar
Benha university hospital,
Egypt
ABOUBAKR ELNASHAR
BACKGROUND
Incidence:
2-5% of pregnancies
Definition
bleeding from the genital tract after the 20th w of
pregnancy and before labour.
ABOUBAKR ELNASHAR
CAUSES
ABOUBAKR ELNASHAR
ABOUBAKR ELNASHAR
ABOUBAKR ELNASHAR
ABOUBAKR ELNASHAR
ABOUBAKR ELNASHAR
ABOUBAKR ELNASHAR
ABOUBAKR ELNASHAR
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 ABOUBAKR ELNASHAR
DIAGNOSIS
ABOUBAKR ELNASHAR
ABOUBAKR ELNASHAR
ABOUBAKR ELNASHAR
ABOUBAKR ELNASHAR