How to spot antepartum haemorrhage?
If you think you are suffering from antepartum haemorrhage, go to hospital immediately for proper assessment and management. Have an ultrasound examination first for fetal monitoring. • The practitioner should administer a gentle palpation of your abdomen to determine the fetus gestational age, position and presentation. • If you suffer from severe bleeding or fetal distress, your practitioner will recommend you undergo urgent delivery without considering the gestational age. • Resuscitation measures may be required if you are in shock. • Women with Rhesus negative should undergo a Kleihauer test and should be given prophylactic anti-D immunoglobulin. • Ensure no vaginal examination is done until the placenta previa is eliminated with the help of ultrasound. • Plenty of bed rest is necessary. • Hydrallazine is usually used for treatment.
