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Referring from a DHQ/THQ

Sending a woman to a tertiary unit safely.

Source: WHO · good practice

Before transfer

  1. Stabilise: airway, IV access with 2 cannulas, fluids, oxygen.
  2. Give first doses: MgSO4 loading dose for severe pre-eclampsia, antihypertensive, oxytocin for PPH, antibiotics for sepsis, steroids if preterm.
  3. Call the receiving unit and speak to the registrar.
  4. Send a written note: history, drugs with doses and times, observations, results.
  5. Send a trained escort with drugs; blood donor relatives if possible.
  6. Bladder catheter after prolonged labour; keep warm.
A summary for trained clinicians. Always check the full guideline, the patient in front of you and your hospital's protocol. Spotted an error? Tell us.