Managing Complications in Pregnancy and Childbirth: - IAWG

VAGINAL BLEEDING IN LATER PREGNANCY S-17AND LABOURPROBLEMS• Vaginal bleeding after 22 weeks of pregnancy.• Vaginal bleeding in labour before delivery.TABLE S-5Types of bleedingType of Bleeding Probable Diagnosis ActionBlood-stained mucus(show)Any other bleedingOnset of labourAntepartumhaemorrhageProceed withmanagement of normallabour and childbirth,page C-57Determine cause (TableS-6, page S-18)GENERAL MANAGEMENT• SHOUT FOR HELP. Urgently mobilize all available personnel.• Make a rapid evaluation of the general condition of the womanincluding vital signs (pulse, blood pressure, respiration,temperature).Do not do a vaginal examination at this stage.• If shock is suspected, immediately begin treatment (page S-1).Even if signs of shock are not present, keep shock in mind as youevaluate the woman further because her status may worsen rapidly.If shock develops, it is important to begin treatment immediately.• Start an IV infusion and infuse IV fluids (page C-21).