Obstetric Haemorrhage
Obstetric Haemorrhage: Overview
Vignette: Obstetric Haemorrhage
Question 1: History
Focussed History: Antepartum Haemorrhage
Examination
Question 2: Antepartum Haemorrhage (APH)
Question 3: Mrs G
Placental Abruption
Differential Diagnosis for APH
Images of some of the causes of APH
Placental Abruption vs. Placenta Praevia vs. Uterine Rupture
Question 4: Immediate Management
Group and Save vs. Cross-Match
Question 5: Taking BTS samples
Further Management
Delivery
Question 6: Postpartum Haemorrhage (PPH)
Anaemia: Reducing the Risk Antenatally
Question 7: Blood Loss 1
Question 8: Blood Loss 2
Postpartum Haemorrhage (PPH)
Estimating Blood Loss
Question 9: Estimating Blood Loss
Blood Options 1
Blood Options 2
Question 10: PPH
Question 11: Causes of PPH: The 4 T's
Postpartum Haemorrhage (PPH) contd.
Question 12: Drug Options
Tone: Mechanical and Pharmacological measures
Next Steps: Resort to Surgical Measures if Phamacological Measures Fail to Control Bleeding
Trauma
Tissue
Thrombin
Disseminated Intravascular Coagulation (DIC)
Management of Major PPH and Ongoing Bleeding: Replace, Stabilise and Stop the Source of Bleeding
Pin Girl - PPH Management Overview
Question 13: Blood Tubes
Why Check Bloods?
Mrs G
Post Bleed Care
Debrief
Risk Management
Question 14: End of Case Quiz
References and Resources
Feedback
Obstetric Haemorrhage
Question 2: Antepartum Haemorrhage (APH)
Which is the correct definition of APH:
Bleeding from the genital tract after 20 weeks gestation
Bleeding from the genital tract after 24 weeks gestation
Bleeding from the genital tract after 28 weeks gestation
Bleeding from the genital tract after 32 weeks gestation
Bleeding from the genital tract after 36 weeks gestation
Please answer each row
