Any bleeding in the second half of pregnancy must be considered a major obstetric emergency until proven otherwise.
A 34-year-old G3P2 at 37 weeks presents with "gushing" of bright red blood. No pain. Vitals: BP 110/70, HR 100. Abdomen soft. Question: What is the top differential? Can you perform a vaginal exam? Answer: Placenta Praevia. No , do not perform a digital exam. Do an ultrasound to confirm placental site. Prepare for C-section if major praevia. Antepartum haemorrhage APH.ppt