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A patient, 34 weeks pregnant, arrives at the hospital with SEVERE abdominal pain, uterine tenderness and an increased uterine tone. The patient most likely has which of the following

A patient, 34 weeks pregnant, arrives at the hospital with SEVERE abdominal pain, uterine tenderness and an increased uterine tone. The patient most likely has which of the following Correct Answer Abruptio placenta

Concept:

  • Abruptio placenta is an antepartum hemorrhage.
  • There is premature separation of the situated placenta.
  • There are three types of abruptio placenta:
    • Revealed
    • Concealed
    • Mixed
  • Risk factors for abruptio placenta:
    • age of the mother
    • a poor socio-economic condition that leads to malnutrition
    • smoking

Explanation:

  • Clinical manifestations of abruptio placenta:
    • collection of blood behind the placenta or vaginal bleeding
    • irritable uterus
    • uterine tenderness
    • fetal distress or fetal shock
  • Management:
    • Early detection and effective therapy for the causative factor
    • Avoidance of trauma
    • Amniocentesis
    • Supine hypotension
    • Routine administration of folic acid

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