OBSintermediate

In the initial management of acute antepartum haemorrhage (APH), state the standard intravenous access and fluid resuscitation protocol, and identify the primary indication for delivery prior to term.

Answer

Initial resuscitation requires securing intravenous access with wide-bore cannulae, attaching a blood-giving set, and administering up to 2 litres of crystalloid fluid. Delivery prior to term is indicated if there is maternal or fetal compromise.

Explanation

The supplied management slide emphasizes preparation for resuscitation and inpatient care: establish wide-bore intravenous access, have a blood-giving set available, administer the stated crystalloid volume, and admit the patient. It also identifies **maternal or fetal compromise** as a reason to terminate the pregnancy before term. The exact management plan depends on clinical assessment; this answer reflects the lecture’s stated points.\n\n**Key takeaway:** Stabilization and assessment are central, and compromise may require delivery before term.\n\n**Glossary:** **Crystalloid**: An intravenous fluid containing water and dissolved small molecules; **compromise**: Deterioration or threat to maternal or fetal wellbeing.

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