Antepartum Haemorrhage

Most of this guideline is aimed at secondary care. From our point of view:

  • Any bleeding, including spotting needs evaluation in secondary care, even if painless.
  • Beware cervical lesions as a cause, especially in women with a history of abnormal smears – if in doubt refer to colposcopy.
  • Placenta Praevia – don’t do a VE, speculum exam or rectal exam if there is a known placenta praevia.
  • Women who’ve had a major APH should have a postnatal consultation with a consultant at around 8/52 to discuss what happened and their future risk. They may also be sent home with post-natal thromboprophylaxis as it is a VTE risk factor.

Louise Hudman

I'm a freelance GP locum in Winchester & Southampton locum chambers, and Pallant Medical Chambers Clinical Guidelines Lead Partner.

Use the NASGP CPD templates to record your reflections.

Latest posts by Louise Hudman (see all)

No Comments Yet.

Leave your comments