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Vaginal Bleeding: Difference between revisions

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{{Severity Banner
{{Severity Banner
| levelΒ  Β  = red
| levelΒ  Β  = red
| card_noΒ  = 18
| card_noΒ  = 18
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{{Card Infobox
{{Card Infobox
| card_noΒ  = 18
| card_noΒ  = 18
| severity = red
| severity = red
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== 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 β€” the woman must reach a District Hospital within the hour.


{{Action Steps|
{{Action Steps|
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* '''Phone 108 for the ambulance'''
* '''Phone 108 for the ambulance'''
* Lie down on the left side β€” '''do NOT stand'''
* Lie down on the left side β€” '''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 = πŸ“ž 108
| step1 = πŸ“ž 108
| step2 = ASHA
| step2 = ASHA
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{{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 β€” the woman must reach the District Hospital within the hour.
}}
}}


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== Related cards ==
== Related cards ==


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


{{Emergency Footer}}
{{Emergency Footer}}
[[Category:Symptom Cards]]
[[Category:Red Alert]]
[[Category:Bleeding]]

Latest revision as of 16:58, 2 May 2026

🚨
RED ALERTΒ· CARD 18
Vaginal Bleeding
Any bleeding from the birth canal in any month is an emergency
CARD 18 Β· RED
Category Bleeding
108 πŸ“ž CALL 108
Pathway ASHA β†’ 108 β†’ 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 β€” 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 β€” 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: πŸ“ž 108β†’ASHAβ†’CHCβ†’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 β€” the woman must reach the District Hospital within the hour.

Khasi audio guide

πŸ”Š Audio guide in KhasiΒ· Duration: 2:14

File:Vaginal Bleeding Khasi.mp3

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