Match each clinical condition causing antepartum or intrapartum bleeding with its appropriate management strategy:
Conditions:
1. Cervical or vaginal infection
2. Vaginal trauma
3. Antenatally diagnosed vasa praevia
4. Vasa praevia diagnosed at membrane rupture
Management Strategies:
A. Antibiotic therapy
B. Surgical repair
C. Elective caesarean delivery at 35 weeks
D. Emergency caesarean section
Answer
1 - A, 2 - B, 3 - C, 4 - D
Explanation
The lecture provides cause-specific management: cervical or vaginal infection is treated with **antibiotics**, while vaginal trauma requires **surgical repair**. For vasa praevia, antenatal diagnosis allows planned caesarean delivery at 35 weeks; diagnosis at membrane rupture calls for emergency caesarean because of the high fetal mortality described.\n\n**Key takeaway:** Management is tailored to the cause and timing of APH.\n\n**Glossary:** **Vasa praevia**: Fetal vessels at risk of rupture over the cervical opening; **surgical repair**: Operative closure or correction of an injury.