On rare occasions you may receive a pre-alert, where you want blood available for the patient when they arrive (for example in major haemorrhage). This process has been agreed with transfusion so this can be done safely and responsibly. Read more
Rhesus (Rh)-D negative women, pregnant with Rh-D positive foetus are at risk of developing antibodies against future pregnancies if/when they suffer a sensitising event. (Remember, this should be considered a standard treatment for all Rh-D negative women, as we are never certain of the fathers Rh-D status) Read more
Bleeding in early pregnancy is a relatively common problem and in the many cases (esp. with spotting) the pregnancy remains viable. However, bleeding in early pregnancy should never be thought of as normal, and it is vital that we investigate this appropriately.
Communication is also vital at a very stressful time
Who you are discussing this pregnancy in front of? – Does the patient want them to know
Manage expectations – There is nothing we or mum can do to change the out come of the pregnancy apart from ensuring mum is well
Ensure the patient has all the details they need – Return advice, clinic time, where to go, what is happening
Be sensitive to the patients feelings – Patients respond very differently, be careful not to impose your emotions/assumptions on the situation