Pitfalls

Failure to diagnose pregnancy. Every woman of reproductive age with lower abdominal pain or PV bleeding should have a pregnancy test.
Failure to diagnose an ectopic pregnancy. Remember:Ectopic pregnancies can present with a range of presentations of women of reproductive age, including: Collapse/syncope/faint, Diarrhoea/ GI upset, UTI symptoms. Do a pregnancy test!
Failure to recognise cervical shock. Cervical shock presents bradycardia and hypotension – remove what is causing the obstruction at the cervical OS.
Failure to appreciate the extent of haemorrhage and consider concealed haemorrhage.
Failure to prevent isoimmunisation.
Failure to involve experienced specialists early.