Obstetric antepartum haemorrhage — DipIMC MCQ

Correct answer: C — Place in left lateral tilt, monitor and transfer urgently to obstetric care

Place in left lateral tilt, monitor and transfer urgently to obstetric care is the best answer because third-trimester bleeding with reduced fetal movements needs urgent obstetric assessment and maternal positioning. Allow self-evacuation in a private vehicle is less appropriate because private transport is unsafe for an unstable or potentially unstable casualty; Transport to the nearest hospital without pre-alert is less appropriate because unstructured destination choice can delay trauma-team activation. Delay transport for full wound cleaning and Transport to the nearest minor injury unit are also suboptimal because they move attention away from the key pre-hospital priority.. The key DipIMC principle is to treat immediate reversible threats, communicate clearly and move the patient toward the right definitive care.

Reference: JRCALC Guidelines; NICE Antenatal care guidance