Please enable JavaScript.

Coggle requires JavaScript to display documents.

Antepartum Haemorrhage - Coggle Diagram

- - - - Grade 1
        
        Placental edge reaches lower uterine segment within 2cm of internal os but does not cover it
      - Grade 2
        
        Placental edge reaches but does not cross internal os
    - - Grade 3
        
        Placenta partially covers internal os
      - Grade 4
        
        Placenta completely covers internal os
- - - - Retroplacental haemorrhage
- - - - Eversion of cervical os
- - - - CS
      - Myomectomy
      - Perforation
- - - - Hx, examine
      - Avoid digital VE before placental location is known
      - Assess fetus
        
        CTG
        
        Bedside scan
      - Bloods: IV access
        
        FBC
        
        Group and hold
      - Kleihauer / AntiD if Rh-
      - Corticosteroids if <34-36 weeks
        
        Maturation of fetal lungs
        
        Betamethasone
      - +/- admit 24hr observation
      - US scan of lacental location / fetal wellbeing
      - Speculum to inspect genital tract
      - Admission
        
        Unexplained / benign genital tract - send Home
        
        Minor Pl praevia - CS 37-38 +/- Home
        
        Major Pl Praevia - CS 37 X-match - In patients
        
        Suspected abruption - deliver if term / concern
  - - - FBC
      - G&X match
      - Clotting
      - Renal
    - - Crystalloid up to 3L then blood products
    - - Monitor urine output - volume status
    - - CTG / US
    - - Safest mode of birth
      - 37 weeks onward - deliver
    - - Stabilise / CS
    - - Stablise / Vag delivery or CS