Treatment

Maternal resuscitation 

Apply the ABCD protocol.

Insert two (2) large bore IV lines and give Normal Saline/Ringers Lactate. Replete 3 times the ongoing blood loss.

Blood Transfusion based of patients Hb level or clinical degree of anaemia. Oxygen therapy at a flow of 6L/min.

Insert a urinary catheter to monitor input/output

In case of Disseminated Intravascular Coagulation (DIC), Give fresh frozen Plasma 1 Unit/hour otherwise give whole blood based on the lost amount of blood.

Obstetric Management 

If the foetus is viable perform emergency Caesarean section

If the foetus is not viable, Normal vaginal delivery is preferable in absence of  contraindications.

Prophylactic antibiotics

Amoxycillin + clavulanic acid (FDC) (IV) 1.2 g stat

AND 

Metronidazole (IV) 500mg stat.