Major antepartum haemorrhage in labour — DRCOG MCQ

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ModerateLabourMajor antepartum haemorrhage in labourDRCOG

A 19-year-old woman arrives in labour with heavy vaginal bleeding and maternal tachycardia. When should this patient be referred?

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Correct answer: C — Refer immediately to obstetric-led emergency care

Refer immediately to obstetric-led emergency care is the best answer because the vignette is testing Major antepartum haemorrhage in labour and the recommended approach is consistent with RCOG Green-top Guideline 63. The other referral timings are either too slow for the risk described or use a pathway intended for a different presentation. Specifically, Refer same day to the maternity assessment unit; Refer early for specialist fertility assessment; Refer to sexual assault referral services; Discuss elective induction next week would be suboptimal in this scenario. Referral timing is determined by red flags, pregnancy stage and suspected cancer or emergency pathways.

Reference: RCOG Green-top Guideline 63