Antepartum Hemorrhage

  • LABS: CBC; KB for Rh negative patients (can still go ahead and give RhoGAM); coagulation parameters if bleeding is particularly heavy or if thrombocytopenia
  • Ultrasound to evaluate for previa or abruption is useful
  • Use tocolysis with caution. Antepartum hemorrhage is a relative contraindication to tocolysis. Once patient is deemed stable enough for transfer, tocolysis for the purpose of transfer is reasonable. Would prefer MgSO4 as nifedipine lowers BP which may confuse clinical picture of bleeding patient

Contact Information

MinistryConnect:

1.888.411.1362

Ministry Saint Joseph's Hospital Birth Center:

715.387.7071

Ministry Saint Joseph's Hospital NICU:

715.387.7083

 
 
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