protocol for management of antepartum haemorrhage
TRANSCRIPT
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Protocol for
Management of
Antepartum
Haemorrhage Aboubakr Elnashar
Benha university hospital,
Egypt
ABOUBAKR ELNASHAR
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BACKGROUND
Incidence:
2-5% of pregnancies
Definition
bleeding from the genital tract after the 20th w of
pregnancy and before labour.
ABOUBAKR ELNASHAR
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CAUSES
ABOUBAKR ELNASHAR
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ABOUBAKR ELNASHAR
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ABOUBAKR ELNASHAR
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ABOUBAKR ELNASHAR
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ABOUBAKR ELNASHAR
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ABOUBAKR ELNASHAR
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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
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DIAGNOSIS
ABOUBAKR ELNASHAR
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ABOUBAKR ELNASHAR
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ABOUBAKR ELNASHAR
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ABOUBAKR ELNASHAR