Hb concentration of 70-90 g/L, RBC transfusion not associated with reduced mortality.Breech and 90 g/L, Red blood cell (RBC) transfusion is usually inappropriate.Possible indications for caesarean section Counsel the woman and family about what to expect in terms of baby's condition and care.consider a rapid infusion of 20 ml/kg of Rh O-negative uncross-matched blood, for infants symptomatic of hypovolaemia secondary to blood loss.Prepare resuscitation equipment appropriate for gestation:.Consult with obstetric and paediatric clinicians.
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Summon help - consider MET Call, Code Blue or Code Pink.coagulation studies, including fibrinogen.group and hold, for minor APH (50 ml and/or clinical shock.Document obstetric, medical, surgical and social history.Cardiotocograph (CTG) is indicated from 26 weeks.Avoid vaginal examination until placenta praevia is excluded.Assess pain, rigidity, fetal presentation, size and movement.Vital signs - heart rate, blood pressure, respiratory rate, O2 saturation, temperature.Document history of blood loss in this pregnancy.within Victoria, seek assistance from PIPER: 1300 137 650.If required, aim for in-utero transfer if safe to do so:.Victorian Maternity & Newborn Capability Framework.Understand your health service capability:.Stabilise the woman before assessing fetal condition.APH assessment and management flowchart.APH with significant bleeding or haemodynamic instability is an obstetric emergency – SUMMON HELP IMMEDIATELY