Table of Contents
REQUIREMENTS #
- A trolley containing:
- APH pack
- Cannular (16/18 guage)
- Isotonics IV fluids
- Blood volume expanders
- Perineal pad
- Sterile gallipot
- Sterile swabs
- Adhesive tape
- Vital signs tray
- Blood sample bottles
- Request form
- Foetal Stethoscope
- Antiseptic lotion
- Oxygen
- Facemask/nasal prong
- Suction apparatus
- Receiver
- Uterotonic drugs
STEPS #
- Establish rapport (refer steps)
- Explain procedure to client (refer steps)
- Call for immediate help or support
- Assess client’s condition
- Take history of description of bleeding (Onset nature and amount)
- Set up IV line and take blood sample for laboratory investigations and arrange for whole blood frozen plasma if necessary
- Assess clotting status using the bedside clotting test
- Start IV infusions e.g. normal saline or Ringer’s Lactate
- Check vital signs (Temperature, pulse, respiration and SPO2)
- Elevate the foot-end- of bed to aid circulation to the brain
- Perform thoroughly examination to assess maternal and foetal wellbeing
- Perform gentle abdominal examination noting areas of tenderness, gestational age and presentation and position of foetus
- Assess for signs and symptoms of shock and resuscitate
- Auscultate fetal heart sound
- Identify and diagnose cause of bleeding
- Manage in accordance with WHO/GHS protocols
- Counsel mother and family on her condition and that of the foetus
- Arrange for transfer to higher level if bleeding persists
- Prepare client for surgery if indicated
- Record all procedures in the Maternal and Child Health Record Book (Manual/Electronic)
