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Immediate priorities
High risk obstetric hemorrhage approach
Resuscitation bay triggers
Systolic blood pressure <90 mmHg
Heart rate >120 beats/min
Altered mental status
Ongoing heavy vaginal bleeding
Airway and breathing
If respiratory distress or shock, airway support and oxygenation
If intubation, left uterine displacement
Circulation
Two large bore IV lines
Rapid transfuser readiness
If shock, activate massive transfusion protocol
Monitoring
Continuous ECG
Continuous pulse oximetry
Noninvasive blood pressure every 3 to 5 minutes
If unstable, arterial line for titration and frequent sampling
Hemorrhage and fetal safety
Maternal first framework
Maternal stabilization as priority for fetal survival
Left uterine displacement to reduce aortocaval compression
Normothermia and active warming
Calcium monitoring during transfusion
Fetal assessment integration
Continuous external fetal monitoring if viable gestational age and resources available
Category III fetal heart tracing as urgent obstetric escalation trigger
Bedside ultrasound for fetal cardiac activity if uncertainty
Consults and time critical decisions
Team activation
Obstetrics immediate involvement
Anesthesia early involvement for possible operative delivery
Neonatology if preterm viable fetus
Blood bank notification for anticipated high product use
Delivery decision points
If maternal instability, immediate delivery pathway based on obstetric assessment
If fetal distress with viable fetus, expedited delivery pathway
If fetal demise, maternal stabilization and hemorrhage control focus
Transfer considerations
If no operative obstetric capability, immediate transfer planning with ongoing resuscitation
If unstable, transfer only if safer than local temporizing delivery options
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.