Vaginal Bleeding - Revision history

Adminsuper at 11:28, 2 May 2026

2026-05-02T11:28:26Z

← Older revision		Revision as of 16:58, 2 May 2026
Line 1:		Line 1:
	{{Severity Banner		{{Severity Banner

	\| level = red		\| level = red
	\| card_no = 18		\| card_no = 18
Line 8:		Line 7:

	{{Card Infobox		{{Card Infobox

	\| card_no = 18		\| card_no = 18
	\| severity = red		\| severity = red
Line 20:		Line 18:
	== What is this? ==		== What is this? ==

	~~Vaginal~~ bleeding during pregnancy is ~~a critical "danger sign" and must~~ be ~~treated as a medical emergency regardless of which month~~ it ~~occurs~~. It is ~~often a symptom of severe complications such as a retained placenta or internal haemorrhage, which are primary causes of maternal mortality if not treated immediately~~.		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 to the uterus, or it may be early labour before the baby is full-term. Both situations can put the mother and baby at serious risk if care is delayed.

	~~Meghalaya~~'~~s MOTHER app uses real-time data~~ to ~~track these high-risk cases~~, ~~ensuring that medical officers are alerted the moment such symptoms are reported by frontline workers like ANMs~~ or ~~ASHAs. Swift action~~, ~~including the immediate use of~~ the ~~108 ambulance service, has been proven to save~~ the ~~lives of mothers facing these life-threatening conditions~~.		A small streak of blood that stops on its own '''still needs to be checked the same day'''. Heavy bleeding, especially with belly pain or after a fall, is a true emergency — the woman must reach a District Hospital within the hour.

	{{Action Steps\|		{{Action Steps\|
Line 28:		Line 26:
	* '''Phone 108 for the ambulance'''		* '''Phone 108 for the ambulance'''
	* Lie down on the left side — '''do NOT stand'''		* Lie down on the left side — '''do NOT stand'''
	* Do NOT eat or drink anything		* '''Do NOT eat or drink anything''' (a C-section may be needed)
	* Go to the CHC or District Hospital right away		* Go to the CHC or District Hospital right away
	}}		}}

	{{Referral Pathway		{{Referral Pathway

	\| step1 = 📞 108		\| step1 = 📞 108
	\| step2 = ASHA		\| step2 = ASHA
Line 41:		Line 38:

	{{Risk Window\|		{{Risk Window\|
	~~Vaginal~~ bleeding ~~becomes life-threatening immediately upon onset. It is exceptionally dangerous if it happens after the expected delivery date or is accompanied by the retention of the placenta~~, as ~~this can lead to fatal blood loss within a very short window~~. ~~If any spotting or bleeding is observed, do~~ not wait for ~~a scheduled checkup~~. '''~~Go to~~ the ~~nearest CHC~~ or District Hospital within the ~~same~~ hour.~~'''~~		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.
	}}		}}

Line 50:		Line 47:
	== Related cards ==		== Related cards ==

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

	{{Emergency Footer}}		{{Emergency Footer}}

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

Adminsuper at 09:28, 2 May 2026

2026-05-02T09:28:44Z

← Older revision		Revision as of 14:58, 2 May 2026
Line 1:		Line 1:
	{{Severity Banner		{{Severity Banner
	\| level = red
	\| ~~english~~ = ~~VAGINAL BLEEDING~~		\| level = red
	\| ~~khasi~~ = ~~Ka jingthehsnam~~		\| card_no = 18
			\| title = Vaginal Bleeding
			\| subtitle = Any bleeding from the birth canal in any month is an emergency
	}}		}}

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

	== What is this~~? · Kaei Kane~~? ==		== What is this? ==

	'''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.		Vaginal bleeding during pregnancy is a critical "danger sign" and must be treated as a medical emergency regardless of which month it occurs. It is often a symptom of severe complications such as a retained placenta or internal haemorrhage, which are primary causes of maternal mortality if not treated immediately.

	~~== What~~ to ~~do now · Kumno ban leh mynta ==~~		Meghalaya's MOTHER app uses real-time data to track these high-risk cases, ensuring that medical officers are alerted the moment such symptoms are reported by frontline workers like ANMs or ASHAs. Swift action, including the immediate use of the 108 ambulance service, has been proven to save the lives of mothers facing these life-threatening conditions.

	{{Action Steps		{{Action Steps\|
	\| ~~english =~~
	* '''Call ASHA immediately'''		* '''Call ASHA immediately'''
	* '''Phone 108 for the ambulance'''		* '''Phone 108 for the ambulance'''
	* Lie down on the left side — '''do NOT stand'''		* Lie down on the left side — '''do NOT stand'''
	* ~~'''~~Do NOT eat or drink anything~~''' (a C-section may be needed)~~		* Do NOT eat or drink anything
	* Go to the CHC or District Hospital right away		* 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

	~~{{Referral Pathway~~		\| step1 = 📞 108
	\| step1 = 📞 ~~Call~~ 108
	\| step2 = ASHA		\| step2 = ASHA
	\| step3 = CHC		\| step3 = CHC
Line 48:		Line 40:
	}}		}}

	{{Risk Window		{{Risk Window\|
	\| ~~english =~~		Vaginal bleeding becomes life-threatening immediately upon onset. It is exceptionally dangerous if it happens after the expected delivery date or is accompanied by the retention of the placenta, as this can lead to fatal blood loss within a very short window. If any spotting or bleeding is observed, do not wait for a scheduled checkup. '''Go to the nearest CHC or District Hospital within the same hour.'''
	~~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 ==		== Khasi audio guide ==

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

	* [[~~Strong Belly~~ Pain]] ~~— bleeding plus pain is a higher-risk combination~~		* [[Abdominal Pain]]
	* ~~[[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}}		{{Emergency Footer}}

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

Adminsuper: Undo revision 38 by Adminsuper (talk)

2026-05-02T09:26:24Z

Undo revision 38 by Adminsuper (talk)

← Older revision		Revision as of 14:56, 2 May 2026
Line 1:		Line 1:
	~~{{Lang Switcher}}~~
	{{Severity Banner		{{Severity Banner
			\| level = red
	\| level = red		\| english = VAGINAL BLEEDING
	\| ~~card_no = 18~~		\| khasi = Ka jingthehsnam
	~~\| title~~ = ~~Vaginal Bleeding~~
	\| ~~subtitle~~ = ~~Any bleeding from the birth canal in any month is an emergency~~
	}}		}}

	{{Card Infobox		{{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
			}}

	~~\| card_no~~ = 18		== What is this? · Kaei Kane? ==
	~~\| severity~~ = ~~red~~
	~~\| 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? ==~~		'''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.

	~~Vaginal bleeding during pregnancy is a critical "danger sign" and must be treated as a medical emergency regardless of which month it occurs~~. ~~It is often a symptom of severe complications such as a retained placenta or internal haemorrhage, which are primary causes of maternal mortality if not treated immediately~~.		'''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.

	~~Meghalaya's MOTHER app uses real-time data~~ to track these high-risk cases, ensuring that medical officers are alerted the moment such symptoms are reported by frontline workers like ANMs or ASHAs. Swift action, including the immediate use of the 108 ambulance service, has been proven to save the lives of mothers facing these life-threatening conditions.		== What to do now · Kumno ban leh mynta ==

	{{Action Steps\|		{{Action Steps
			\| english =
	* '''Call ASHA immediately'''		* '''Call ASHA immediately'''
	* '''Phone 108 for the ambulance'''		* '''Phone 108 for the ambulance'''
	* Lie down on the left side — '''do NOT stand'''		* Lie down on the left side — '''do NOT stand'''
	* Do NOT eat or drink anything		* '''Do NOT eat or drink anything''' (a C-section may be needed)
	* Go to the CHC or District Hospital right away		* 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		{{Referral Pathway
			\| step1 = 📞 Call 108
	\| step1 = 📞 108
	\| step2 = ASHA		\| step2 = ASHA
	\| step3 = CHC		\| step3 = CHC
Line 41:		Line 48:
	}}		}}

	{{Risk Window\|		{{Risk Window
	~~Vaginal~~ bleeding ~~becomes life-threatening immediately upon onset. It is exceptionally dangerous if it happens after the expected delivery date or is accompanied by the retention of the placenta~~, as ~~this can lead to fatal blood loss within a very short window~~. ~~If any spotting or bleeding is observed, do not~~ wait for ~~a scheduled checkup~~. '''~~Go to~~ the ~~nearest CHC~~ or District Hospital within the ~~same~~ hour.~~'''~~		\| 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.
	}}		}}

	== ~~Khasi audio~~ guide ==		== Audio guide ==

	{{Audio Guide\|file=Vaginal_Bleeding_Khasi.mp3\|duration=2:14}}		{{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 ==		== Related cards ==
	* [[~~Abdominal~~ Pain]]
			* [[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}}		{{Emergency Footer}}

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

Adminsuper at 09:25, 2 May 2026

2026-05-02T09:25:41Z

← Older revision		Revision as of 14:55, 2 May 2026
Line 1:		Line 1:
			{{Lang Switcher}}
	{{Severity Banner		{{Severity Banner
	\| level = red
	\| ~~english~~ = ~~VAGINAL BLEEDING~~		\| level = red
	\| ~~khasi~~ = ~~Ka jingthehsnam~~		\| card_no = 18
			\| title = Vaginal Bleeding
			\| subtitle = Any bleeding from the birth canal in any month is an emergency
	}}		}}

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

	== What is this~~? · Kaei Kane~~? ==		== What is this? ==

	'''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.		Vaginal bleeding during pregnancy is a critical "danger sign" and must be treated as a medical emergency regardless of which month it occurs. It is often a symptom of severe complications such as a retained placenta or internal haemorrhage, which are primary causes of maternal mortality if not treated immediately.

	~~== What~~ to ~~do now · Kumno ban leh mynta ==~~		Meghalaya's MOTHER app uses real-time data to track these high-risk cases, ensuring that medical officers are alerted the moment such symptoms are reported by frontline workers like ANMs or ASHAs. Swift action, including the immediate use of the 108 ambulance service, has been proven to save the lives of mothers facing these life-threatening conditions.

	{{Action Steps		{{Action Steps\|
	\| ~~english =~~
	* '''Call ASHA immediately'''		* '''Call ASHA immediately'''
	* '''Phone 108 for the ambulance'''		* '''Phone 108 for the ambulance'''
	* Lie down on the left side — '''do NOT stand'''		* Lie down on the left side — '''do NOT stand'''
	* ~~'''~~Do NOT eat or drink anything~~''' (a C-section may be needed)~~		* Do NOT eat or drink anything
	* Go to the CHC or District Hospital right away		* 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

	~~{{Referral Pathway~~		\| step1 = 📞 108
	\| step1 = 📞 ~~Call~~ 108
	\| step2 = ASHA		\| step2 = ASHA
	\| step3 = CHC		\| step3 = CHC
Line 48:		Line 41:
	}}		}}

	{{Risk Window		{{Risk Window\|
	\| ~~english =~~		Vaginal bleeding becomes life-threatening immediately upon onset. It is exceptionally dangerous if it happens after the expected delivery date or is accompanied by the retention of the placenta, as this can lead to fatal blood loss within a very short window. If any spotting or bleeding is observed, do not wait for a scheduled checkup. '''Go to the nearest CHC or District Hospital within the same hour.'''
	~~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 ==		== Khasi audio guide ==

	{{Audio Guide\|file=Vaginal_Bleeding_Khasi.mp3\|duration=2:14}}		{{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 ==		== Related cards ==
			* [[Abdominal Pain]]
	* [[~~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}}		{{Emergency Footer}}

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

Adminsuper: Created page with "{{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 '''n..."

2026-05-02T06:36:27Z

Created page with "{{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 '''n..."

New page

{{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]]