Red flags
- Massive obstetric haemorrhage
- Eclampsia seizure
- Cord prolapse
- Sepsis in pregnancy
- Ruptured ectopic
First steps
- ABCDE + left-lateral tilt (>20/40)
- Continuous CTG >24/40
- Obstetric team activation
Key investigations
- FBC, group & save, coag, urate, LFT, U&E
- CTG, obstetric USS
- Blood cultures if febrile
Differentials
- Pre-eclampsia, HELLP
- PPH (4 Ts: tone, trauma, tissue, thrombin)
- Sepsis
- PE (leading cause maternal death)
Initial management
- MgSO4 4 g load, 1 g/h for pre-eclampsia/eclampsia
- Uterotonics (oxytocin, ergometrine, carboprost, misoprostol) for PPH
- Antibiotics for sepsis (co-amoxiclav + gentamicin + metronidazole)
- Massive transfusion protocol
Referral
- Obstetric team + anaesthesia + neonatal
AI clinical assessment
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This tool is for educational and clinical support only. It does not replace professional medical judgment or institutional protocols.
