View source for Vaginal Bleeding

{{Severity Banner
| level   = red
| english = VAGINAL BLEEDING
| khasi   = Ka jingthehsnam
}}

{{Card Infobox
| card_no    = 18
| severity   = red
| khasi_name = Ka jingthehsnam
| category   = Bleeding
| audio      = Vaginal_Bleeding_Khasi.mp3
| call_108   = yes
| pathway    = ASHA → 108 → CHC / District Hospital
| image      = Card_18_Vaginal_Bleeding.png
}}

== What is this? · Kaei Kane? ==

'''English:''' Any vaginal bleeding during pregnancy at any month is '''not normal'''. Even small spotting needs urgent attention. The cause may be that the placenta is not properly attached, or it may be early labour before the baby is full-term. Both can put the mother and baby's life at risk if care is delayed.

'''Khasi:''' Kano kano ka jingthehsnam na jaka kha ha kano kano ka por ba dang armet ''KAM LONG'' kaba shngain. Donkam Jingsumar kloi ban peit bniah. Ka daw ka lah ban long na ka jingbym shong skhem ka plakhun lane ka dei ka dak jong ka jingsdang ban kha ia I khyllung bym pat dap bnai. Kine baroh ki lah ban buh jingma ia ka jingim lada ym ioh jingsumar kham kloi.

== What to do now · Kumno ban leh mynta ==

{{Action Steps
| english = 
* '''Call ASHA immediately'''
* '''Phone 108 for the ambulance'''
* Lie down on the left side — '''do NOT stand'''
* '''Do NOT eat or drink anything''' (a C-section may be needed)
* Go to the CHC or District Hospital right away
| khasi  =
* '''Khot noh ia I ASHA mar mar'''
* '''Phone 108 na ka bynta ka ambulance'''
* Thiah lyndang bad '''YMDEI ban ieng'''
* '''YMDEI ban bam ne dih eiei''' (lah ban donkam ban shah puid)
* Leit sha ka CHC lane Distrik hospital mar mar
}}

== Referral pathway ==

{{Referral Pathway
| step1 = 📞 Call 108
| step2 = ASHA
| step3 = CHC
| step4 = District Hospital
}}

{{Risk Window
| english = 
Any vaginal bleeding during pregnancy, at any month, must be treated as urgent. '''Do NOT wait for the bleeding to stop on its own.''' Even a small amount of spotting must be checked at a facility on the same day. Heavy bleeding with belly pain, or bleeding after a fall, is a true emergency — the woman must reach the District Hospital within the hour.
| khasi  =
Kano kano ka jingthehsnam na jaka kha ha kano kano ka por ba dang armet — khot jingiarap noh kloi. WAT YM ap haduh ba ka jingthehsnam kan jah hi da lade. Wat haba don tang khyndiat I dak khah snam ruh donkam noh ban phah sumar kloi kloi ha kajuh hi ka sngi.
}}

== Audio guide ==

{{Audio Guide|file=Vaginal_Bleeding_Khasi.mp3|duration=2:14}}

The audio guide explains in Khasi what bleeding during pregnancy means, why it must never be ignored, and exactly which facility to go to. It is meant to be played for the family at the moment of the scan — no literacy needed.

== Connected QR features ==

This is a '''Red category''' card. Scanning the QR code on the printed version triggers:

# '''108 ambulance call''' — GPS location auto-populated
# '''CM-SMS transport roster''' — nearby vehicles displayed
# '''Facility pre-alert''' — CHC and District Hospital receive an emergency flag with the woman's RCH ID
# '''Location pings''' sent to the receiving facility every few minutes until the patient arrives

See [[MAMA ALERT QR Features]] for the full feature list.

== Related cards ==

* [[Strong Belly Pain]] — bleeding plus pain is a higher-risk combination
* [[Mother Has Collapsed]] — what to do if she becomes unconscious
* [[Very Pale Cannot Stand]] — sign of severe blood loss
* [[Previous C-Section]] — risk factor that increases the seriousness of bleeding

{{Emergency Footer}}

[[Category:Symptom Cards]]
[[Category:Red Alert]]
[[Category:Bleeding]]