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Antepartum Haemorrhage
(GTG 63 - Nov 2011), Quantifying Blood Loss
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Quantifying Blood Loss
- Spotting: Staining, streaking, blood spotting on underwear
- Minor haemorrhage: <50mls, settled
- Major: 50-1000mls, no signs of clinical shock
- Massive: >1000 and/or signs of clinical shock
Therapeutic Aims
- Haemoglobin >8
- Platelet >75
- PT time <1.5 x mean control
- APTT <1.5 x mean control
- Fibrinogen >1
Volume of vaginal loss may not represent true volume of total blood loss - Degree of maternal/fetal compromise is an indicator of volume depletion