Vaginal Bleeding: Difference between revisions

Revision as of 14:56, 2 May 2026

CARD 18 · RED
Category	Bleeding
108	📞 CALL 108
Pathway	ASHA → 108 → CHC / District Hospital

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

What to do now

Referral pathway

Pathway: 📞 Call 108→ASHA→CHC→District Hospital

⚠️ When is it dangerous?

Audio guide

🔊 Audio guide in Khasi· Duration: 2:14

File:Vaginal Bleeding Khasi.mp3

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

108

Call 108 for the ambulance

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

@@ Line 1: / Line 1: @@
-{{Lang Switcher}}
 {{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_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'''
 * '''Phone 108 for the ambulance'''
 * 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
+| 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
-| step1 = 📞 108
 | step2 = ASHA
 | 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}}
+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 ==
-* [[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}}
+[[Category:Symptom Cards]]
+[[Category:Red Alert]]
+[[Category:Bleeding]]