Vaginal Bleeding

Section 7 - PEDIATRIC / OBSTETRICAL

7.11 VAGINAL BLEEDING

INITIAL MEDICAL CARE (2.01) - OXYGEN @ 100% via NRB mask or assist with BVM.

• Determine date of LMP; note passage of clots or tissue and save same for analysis.
• Examine perineum; DO NOT perform vaginal examination.

Unknown pregnancy status and / or LMP, and / or known pregnancy in first six months:

• Place patient in a position of comfort.
• If hypotensive, refer to SHOCK PRACTICE PARAMETER (5.13).
• If in active labor, refer to EMERGENCY CHILDBIRTH PRACTICE PARAMETERS (7.06).

Third trimester bleeding:

• Establish 2 large bore IV lines.
• Place patient in left lateral recumbent position.
• Mark fundal height and time of mark with pen; reassess fundal height every 20 minutes.
• If hypotensive, refer to SHOCK PRACTICE PARAMETER (5.13).
• If in active labor, refer to EMERGENCY CHILDBIRTH PRACTICE PARAMETERS (7.06).