Transcription of Green–top Guideline No. 63 - RCOG
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Green–top Guideline No. 63 - RCOG
Antepartum HaemorrhageGreen top Guideline No. 63 November 2011 RCOG Green-top Guideline No. 632 of 23 Royal College of Obstetricians and GynaecologistsAntepartum HaemorrhageThis is the first edition of this and scopeAntepartum haemorrhage (APH) is defined as bleeding from or in to the genital tract, occurring from 24+0weeks of pregnancy and prior to the birth of the baby. The most important causes of APH are placenta praeviaand placental abruption, although these are not the most common. APH complicates 3 5% of pregnancies andis a leading cause of perinatal and maternal mortality to one-fifth of very preterm babies areborn in association with APH, and the known association of APH with cerebral palsy can be explained bypreterm Guideline has been developed primarily for clinicians working in obstetric units in the UK;recommendations may be less appropriate for other settings where facilities, resources and routine practicediffer.
(England) and Management of Anaesthesia for Jehovah’s Witnesses by the Association of Anaesthetists of Great Britain and Ireland provide useful additional information.4,5 2. Introduction and background Obstetric haemorrhage remains one of the major causes of maternal death in developing countries and is the
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