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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..."
 
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{{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
| card_no = 18
| severity   = red
| severity = red
| khasi_name = Ka jingthehsnam
| 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.
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.


'''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.
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.


== 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'''
Line 31: Line 28:
* '''Do NOT eat or drink anything''' (a C-section may be needed)
* '''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 48: Line 37:
}}
}}


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


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

Latest revision as of 16:58, 2 May 2026

🚨
RED ALERT· CARD 18
Vaginal Bleeding
Any bleeding from the birth canal in any month is an emergency
CARD 18 · RED
Category Bleeding
108 📞 CALL 108
Pathway ASHA → 108 → CHC / District Hospital

What is this?

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.

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.

What to do now
  • 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

Pathway: 📞 108→ASHA→CHC→District Hospital

⚠️ When is it dangerous?

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 audio guide

🔊 Audio guide in Khasi· Duration: 2:14

File:Vaginal Bleeding Khasi.mp3

108
Call 108 for the ambulance
If urgent help is needed — or use the CM-SMS roster for transport.
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