Obstetric and Gynecological Nursing - The Carter Center

Conservative management it is appropriate if bleeding is
slight and mother and fetus are well.
- The woman will be kept in hospital at rest until bleeding
has stopped.
- A speculum examination will have ruled out incidental
causes.
- Ultrasound scans are repeated at intervals in order to
observe the position of the placenta in relation to the
cervical os.
If bleeding should occur or when the fetus is mature, an
examination per vagina will be carried out under general
anesthetic at operation room. If the placenta is felt, casearean
section will be performed with out delay.
The nurse /midwife should be aware that even if vaginal
delivery is achieved, there remains a danger of postpartum
haemorrhage because the placenta has been situated in the
lower segment.
Active management- sever vaginal bleeding will necessitate
immediate delivery by caesarean section. This should take
place in a unit with facilities for special area of the new born
especially if the baby will be preterm.
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