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Midwifery triage of first trimester bleeding
1Nurse-Midwifery Education Program, Baystate Medical Center, Springfield, MA 01199, USA.
Journal of Nurse-Midwifery
|January 14, 2000
Summary
First-trimester bleeding affects one in five pregnant women, with half experiencing spontaneous abortion. Midwives can effectively triage this common issue, ensuring quality care and exploring expectant management for threatened abortions.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
Background:
- First-trimester bleeding complicates approximately 20% of pregnancies.
- Half of women experiencing early pregnancy bleeding may have a spontaneous abortion.
- Effective triage by midwives is crucial for quality, cost-effective care.
Purpose of the Study:
- To review causes of early pregnancy bleeding.
- To provide strategies for differentiating causes and identifying emergent presentations.
- To discuss triage and management of threatened spontaneous abortion, including expectant management.
Main Methods:
- Literature review of causes and management of early pregnancy bleeding.
- Analysis of triage strategies for differentiating bleeding causes.
- Evaluation of management options for threatened spontaneous abortion.
Main Results:
- Identified common causes of first-trimester bleeding.
- Outlined methods for distinguishing between emergent and non-emergent bleeding scenarios.
- Reviewed expectant management as an alternative for threatened abortions.
Conclusions:
- Midwives can confidently manage early pregnancy bleeding through effective triage.
- Differentiating bleeding causes ensures appropriate and timely care.
- Expectant management is a viable option for threatened spontaneous abortion.
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