Minor APH
General:
- if still at home, keep patient at rest, quiet and flat on left-hand side
- do not perform a digital examination
- refer to hospital
In hospital
- history and examination
- do not perform digital examination - in case of placenta praevia
- observe regularly - CTG to monitor fetal well being
- check heamoglobin, platelets, clotting, and group and save serum
- consider IV access
- arrange ultrasound scan
- give anti-D to rhesus negative mothers
- follow obstetric unit protocol re: steroid prophylaxis against hyaline membrane disease
- further management dependent on cause
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