Antepartum Haemorrhage Aph.ppt

A 28-year-old G1P0 at 35 weeks with severe abdominal pain. Only slight dark vaginal bleeding. BP 90/50, HR 130. Uterus is hard, tense, and tender. CTG shows severe variable decelerations. Question: What is the diagnosis? What is the immediate next step? Answer: Placental Abruption (likely Grade 2-3). Immediate resuscitation and emergency C-section. Be prepared for DIC.

| Feature | Placenta Praevia | Placental Abruption | |---------|----------------|---------------------| | Pain | Painless | Painful | | Bleeding | Bright red | Dark red/clotted | | Uterus | Soft, non-tender | Tender, rigid (“woody”) | | Fetal distress | Late | Early, severe | | Shock | Proportionate to blood loss | Disproportionate | Antepartum haemorrhage APH.ppt

Blood loss between 50–1000 mL without signs of clinical shock. A 28-year-old G1P0 at 35 weeks with severe abdominal pain

APH complicates approximately 3–5% of all pregnancies. It is a leading cause of antenatal hospitalization and a major indication for emergency cesarean section. The severity of the bleed can range from mild spotting to catastrophic hemorrhage resulting in hypovolemic shock. Uterus is hard, tense, and tender

A 28-year-old G1P0 at 35 weeks with severe abdominal pain. Only slight dark vaginal bleeding. BP 90/50, HR 130. Uterus is hard, tense, and tender. CTG shows severe variable decelerations. Question: What is the diagnosis? What is the immediate next step? Answer: Placental Abruption (likely Grade 2-3). Immediate resuscitation and emergency C-section. Be prepared for DIC.

| Feature | Placenta Praevia | Placental Abruption | |---------|----------------|---------------------| | Pain | Painless | Painful | | Bleeding | Bright red | Dark red/clotted | | Uterus | Soft, non-tender | Tender, rigid (“woody”) | | Fetal distress | Late | Early, severe | | Shock | Proportionate to blood loss | Disproportionate |

Blood loss between 50–1000 mL without signs of clinical shock.

APH complicates approximately 3–5% of all pregnancies. It is a leading cause of antenatal hospitalization and a major indication for emergency cesarean section. The severity of the bleed can range from mild spotting to catastrophic hemorrhage resulting in hypovolemic shock.