Antepartum Haemorrhage

Antepartum haemorrhage occurs between 20-40 weeks of gestation in the pregnant woman (if it is going to occur at all) and generally is first noticed in the form of PV bleeding. However, it should be noted that more bleeding may be occuring internally.

As a paramedic, you should:

1. Assess ABCDEs and vital signs comprehensively and particularly identify any signs of hypovolaemia. These patients will often complain of severed abdominal pain, pelvic pain and tense or tender uterus.

2. Treat hypovolaemia if required

3. Avoid palpating the uterus