Question

A 27-year-old woman at 32 weeks gestation presents to a small rural hospital with heavy vaginal bleeding and suspected placental abruption. There is no on-site obstetrician or neonatal ICU. What is the most appropriate action?

Accepted Answer

Stabilise and arrange urgent retrieval to a tertiary obstetric centre

Answer

Attempt vaginal delivery at the rural hospital

Answer

Discharge after observation if bleeding slows

Answer

Delay retrieval until the next routine transport

Answer

Provide tocolytics to stop labour and keep her locally

Practice question

A 27-year-old woman at 32 weeks gestation presents to a small rural hospital with heavy vaginal bleeding and suspected placental abruption. There is no on-site obstetrician or neonatal ICU. What is the most appropriate action?