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  Chapter 12 Trauma in pregnancy 
Disclaimer | Abbreviations | Introduction | Incidence | Clinical presentation | Management | Discharge | References | Last reviewed
 
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Discharge

>  Review after 4 hours of initial electronic fetal monitoring

>  Discharge criteria: 

>  No signs of fetal compromise

>  No uterine activity

>  No ruptured membranes

>  No vaginal bleeding

>  No evidence for feto-maternal haemorrhage on Kleihauer test

>  Normal ultrasound findings

>  Ensure all Rh (D) negative women with abdominal trauma have received a dose of 625 IU CSL Rh D immunoglobulin even if the Kleihauer test is negative

>        Discharge home with instructions for the woman to return if:         

>  Any signs of preterm labour

>  Abdominal pain and / or vaginal bleeding

>  Change in fetal movements

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Management | Page 7 of 9 | References