Which item is NOT listed as an initial intervention for pre-birth hemorrhage?

• A. IV Antibiotics
• B. High-Flow Oxygen
• C. Cover Vaginal Opening with Sanitary Napkin
• D. Rapid Transport

Answer: (A)

In pre-birth hemorrhage, the priority is keeping the mother stable and moving quickly to definitive care. The main steps focus on airway, breathing, circulation, and rapid transport to a facility where obstetric care is available. Providing high-flow oxygen helps optimize both maternal and fetal oxygen delivery during a hemorrhagic event. Covering the vaginal opening with a sanitary napkin is a practical, noninvasive way to manage bleeding and keep the area clean while assessments and transport are arranged. Rapid transport is essential because hemorrhage before birth can deteriorate quickly, and definitive treatment is at a hospital with obstetric specialists.

IV antibiotics are not part of the initial on-scene management for pre-birth hemorrhage. They’re used to treat or prevent infection, such as chorioamnionitis or GBS prophylaxis, and would be addressed in the hospital setting or by specific protocols if indicated.