There are no firm criteria for initiating red cell transfusion. The decision to provide blood transfusion should be based on both clinical and haematological assessment.

The 2009–12 Confidential Enquiries into Maternal Deaths and Morbidity report3 highlighted the importance
of correlating clinical signs and symptoms expected from different blood loss values to help target decisions on resuscitation, and also emphasised the importance of taking the woman’s weight into account.

The therapeutic target in case of massive blood loss is to maintain Haemoglobin  greater than 8 gm/dL.

CTPA delivers a low radiation dose to the fetus

Aspirin is not recommended for thromboprophylaxis in obstetric patients.

Checking the environment is THE FIRST STEP. Who knows the patient has been electrocuted from a faulty electric wire ! Touching her without assessing the environment can harm the healthcare provider.

• LMWH should not be given for 4 hours after use of spinal anaesthesia or after the epidural catheter has been removed
• and the catheter should not be removed within 12 hours of the most recent injection.

The Green Top Guidleine 37 a  ( VTE Prevention in Pregnancy and Puerperium) has very useful charts for VTE risk assessment-  these can be downloaded HERE

Do not use pad tests in the routine assessment of women with urinary
incontinence.

According to Guidance from the British Committee
for Standards in Haematology, it is greater than 2 gram/dL