Antepartum haemorrhage
Provided by Royal College of Obstetricians and Gynaecologists
About the course
This course is part of the RCOG Core Knowledge series.
Antepartum haemorrhage (APH) key facts:
- Defined as bleeding from the genital tract occurring from 20 weeks gestation to birth
- Complicates between 2–5% of all pregnancies
APH poses a risk to both the fetus and the mother. Causes vary but include Placental abruption (30%), placenta praevia (20%), uterine rupture (rare) and vasa praevia (rare). Other causes include placenta accreta spectrum, cervical lesions (such as polyps or ectropion), infection, trauma or malignancy.
Diagnosis, medical and surgical management of the conditions that comprise APH are an integral part of an obstetrician's work. This course will help you to competently treat this condition.
When you have completed this course, you will be able to:
- Clinical assessment in APH
- Principles of management
- Placental abruption
- Placenta praevia
- Placenta accreta spectrum
- Vasa praevia
- Uterine rupture
Elaine Carson (2024)
Dr Janitha Costa MRCOG (2017, 2019, 2024)
Dr Costa is a Clinical Senior Lecturer and Consultant Obstetrician, Queens University Belfast/Royal Jubilee Maternity Hospital Belfast.
The content of this course relates to the following Capabilities in Practice (CiPs) and key skills:
CiP 1: Clinical skills and patient care
All key skills covered
CiP 2: Working in health organisations
Adheres to legal, professional requirements
Understands ethical principles
CiP 3: Leadership
Demonstrates insight
Effective use of resources
CiP 5: Human factors
Maintains situational awareness
Demonstrates insight into decision making
Team working
Understands systems and organisational factors
CiP 6: Developing self & others
Commits to continued learning
Develops people
CiP 8: Educator
Effective teaching
CiP 10: Emergency obstetrics
Manages pain and bleeding in pregnancy
Manages concerns about fetal wellbeing
Manages labour
Manages intrapartum fetal surveillance
Manages emergency birth, postpartum problems,
Manages maternal collapse
Manages labour ward
CiP 12: Non-emergency obstetrics
Manages conditions arising in pregnancy
Manages fetal concerns
Supports antenatal decision making
Further details about each CiP can be found within the O&G Core Curriculum 2024 Definitive Document, available here .
Royal College of Obstetricians and Gynaecologists. Amniocentesis and Chorionic Villus Sampling. Green-top Guideline No 8. London: RCOG; 2021.
Royal College of Obstetricians and Gynaecologists. Placenta Praevia and Placenta Accreta: Diagnosis and Management. Green-top Guideline 27a. London: RCOG; 2018.
Royal College of Obstetricians and Gynaecologists. Vasa Praevia: Diagnosis and Management. Green-top Guideline 27b. London: RCOG; 2018 .
Royal College of Obstetricians and Gynaecologists. Antepartum Haemorrhage. Green-top Guideline 63. London: RCOG; 2011.
Chu J, Johnston TA, Geoghegan J, on behalf of the Royal College of Obstetricians and Gynaecologists. Maternal Collapse in Pregnancy and the Puerperium. BJOG 2020; 127: e14–e52.
Product Details: Product Name Price Antepartum haemorrhage - 12 Month Access £50.40 Login to purchase
| Product Name | Price | |
| Antepartum haemorrhage - 12 Month Access | £50.40 | Login to purchase |
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