Antepartum Haemorrhage
 
Assess
• Perfusion status
• External bleeding
• Patient history
• Abdominal pain
• >20 weeks gestation
     
No clinical signs of altered perfusion
• Visible blood loss < 200 ml
Place patient in left lateral position
Transport to appropriate obstetric hospital
 
Any clinical signs of altered perfusion

• Internal bleeding may greatly exceed visible external bleeding
• Signs of poor perfusion may present late and are always significant
Place patient in left lateral position
Transport to appropriate obstetric hospital with notification in all cases
Fluid resuscitation as per Hypovolaemia
Manage pain as per Pain Relief