Antepartum haemorrhage is a common event in pregnancy and an important cause of maternal and fetal morbidity and mortality. This article reviews the various aetiologies and sets out a practical and coherent management plan for commonly encountered scenarios. The case of massive obstetric haemorrhage is dealt with in some detail as it is an uncommon event yet demands timely and co-ordinated management.
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aFetal Medicine Unit, St George's Hospital, Blackshaw Road, St George's Hospital Medical School, University of London, Cranmer Terrace, London, SW17 ORE, UK
bSt George's Hospital, Blackshaw Road, Department of Obstetrics & Gynaecology, St George's Hospital Medical School, University of London, Cranmer Terrace, London, SW17 ORE, UK
f1 Correspondence to: SA. Tel.: +44(0)20 8672 9944; Fax: +44(0)20 8725 5958; E-mail: sarulkum@sghms.ac.uk