ABCs of haemorrhagic shock in the pregnant woman

Abstract

Haemorrhagic shock is more common in the pregnant woman than generally acknowledged in the clinical setting. In most cases antepartum and postpartum haemorrhage can be managed effectively by concentrating on the management of the obstetrical cause of the bleeding. A midwife should have the appropriate knowledge and skills to recognise the signs and symptoms of haemorrhagic shock, to manage the condition systematically and effectively, and to prevent potential lifethreatening complications. A brief overview of haemorrhagic shock is discussed. The midwife is provided with a systematic guideline that should be used to assess and manage the obstetric woman presenting with haemorrhagic shock. The ABC (Airway, Breathing, and Circulation) include the key life-saving aspects that need to be considered when a pregnant woman presents with haemorrhagic shock. Clinical notes are added to enhance theory-practice correlation.