Bleeding During the First Half of Pregnancy
Not yet clinically reviewed
This protocol was migrated from the earlier Pharmapedia and Ward Guide apps for educational use. Follow your hospital's own policies and consult seniors when in doubt.
The two diagnoses to firstly consider are ectopic pregnancy and abortion.
- In all cases of bleeding in pregnancy rapidly assess the severity of bleeding.
- In the event of heavy hemorrhage or shock or if a surgical intervention (Laparotomy etc.) is required:
Start an IV infusion of Ringer lactate; monitor vital signs (pulse, BP).
- Prepare for a possible blood transfusion (determine patient's blood group, identify blood transfusion potential donors)
- In the event of referral surgical facility, difficult transport conditions might aggravate the hemorrhage: the patient should be infused and accompanied by family members who are potential blood donors.
- Prevent or treat anemia (measure hemoglobin if possible).