CASE REVIEW OF ANTEPARTUM HAEMORRHAGE
A 19 years female primi at 29 weeks period of gestation complained of heavy pv bleeding for 3 hrs,clots+,no lower abdominal pain. She had perceived good fetal movement. She had anc visit in health post, took Iron tablets regularly and had taken 2 doses of Tetanus Toxoid inj.
She had normal menstrual cycle, no use of any contraceptive measures. Her past, family and personal history are not significant.
On Examination:
General Condition - fair
Pallor Icterus Edema - nil
Vitals- stable
per abdomen: uterus 24 weeks size , mild contraction +
per vaginum: no active bleeding, clots removed from vagina, os closed,cervix- ballooned up in upper part
Diagnosis- primi at 29 weeks Period Of Gestation with Antepartum Hemorrhage
Investigations:
Hb%- low
USG report- 26-27 weeks single live intrauterine pregnancy, breech, posterior placenta, oligohydraminos, fetal hydracephalus and deformed fetus.
Management
Admission
Induction of labour with misoprostol 200micro gm per vaginum
Blood transfusion
IV antibiotics
Monitoring of vitals and input output
After few hours, patient was shifted to ot for lscs as placenta was felt on p\v examination, diagnosis being central placenta previa
She was totaly transfused 4 units of whole blood to restore her haemoglobin
Poor girl, look at the terrible state her child was in
fuck 
