Obstetric Haemorrhage

How heavy is the bleeding?

• Volume (how many pads has she used?, were they thick or thin?) and the colour of the blood (red / brown)

Is she sure it is vaginal bleeding?

• Consider urethral / rectal as a possibility if unsure

How did it start?

• At rest / post-coital / other

Associated pain?

• Character / site / exacerbating & relieving factors / radiation of the pain
• Specifically may want to consider if the pain is: constant / intermittent or contractions / scar pain

Is there fetal movement?

• Are the movements normal?

Current pregnancy:

• Review of obstetric / antenatal history including scans, admissions, history of bleeding
• If so: when, how much, findings & outcome?

Previous pregnancy history:

• Including previous mode of delivery

Blood type:

• Rhesus positive or negative?

PMH:

• Any relevant history?
• Smear history?

Allergies?