APH - management

1. Women presenting with spotting who are no longer bleeding and where placenta praevia has been excluded can go home after a reassuring initial clinical assessment.

(spotting ----> staining, streaking or blood spotting noted on underwear or sanitary protection)


  2. All women with APH heavier than spotting and women with on-going bleeding should remain in hospital at least until the bleeding has stopped.

3. Following single or recurrent episodes of APH from a cervical ectropion, subsequent antenatal care need not be altered.

4. Following APH from placental abruption or unexplained APH, the pregnancy should be reclassified as ‘high risk’ and antenatal care should be consultant-led.
Serial ultrasound for fetal growth should be performed.