Obstetrics & Gynaecology
Antepartum Haemorrhage (APH)
Haemorrhage after 24 weeks — differential of placenta praevia, abruption, and unexplained bleeding with emergency management
Source: RCOG GTG 63 2011
Step 1 of ~9
info
Antepartum Haemorrhage
APH = PV bleeding from 24 weeks until onset of labour. Incidence 3–5%. Causes: placental abruption (~30%), placenta praevia (~20%), unexplained (~50%), local cause (ectropion, polyp). NEVER perform digital VE until placenta praevia excluded.
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Neostigmine · Anticholinesterase (Reversal Agent)
- Prilocaine · Local Anaesthetic (Amide)
- Insulin (IV Infusion — ICU Glucose Control) · Insulin — ICU Glucose Management
- Sodium Chloride 3% (Hypertonic Saline) · Hypertonic Electrolyte Solution — ICP/Hyponatraemia Management
- Labetalol (IV — Hypertensive Emergency) · Combined Alpha-1 and Beta-Adrenergic Blocker
- Mepivacaine with adrenaline · Amide LA + vasoconstrictor
Pathways
- Spinal Anaesthesia Hypotension Management · AAGBI; ASA
- Pre-Eclampsia / Eclampsia in ED · NICE NG133; RCOG Green-top 10A
- Suspected Ectopic Pregnancy · NICE NG126; RCOG Green-top 21
- Polycystic Ovary Syndrome (PCOS) · International PCOS Guideline 2023; NICE CKS
- Pre-eclampsia Management · NICE NG133 2019
- Ectopic Pregnancy · NICE CG154 / RCOG GTG 21
Decision support only. Always apply local guidelines and clinical judgement.