Placenta Abruption
Painful third trimester vaginal bleeding - Dalbir Bahga MD
HWN Suggests
EM@3AM: Placental Abruption
The degree of placental abruption can cause different presentations:
Mild abruption can present as mild uterine with mild or no vaginal bleeding. This patient can have normal vital signs, no coagulopathy or fetal distress.
Severe abruption can present with severe uterine pain, continuous or repetitive uterine contractions, heavy or no vaginal bleeding, fetal distress, coagulopathy, hypotension or shock.
Articles of Interest
Management of Placental Abruption Following Blunt Abdominal Trauma
Although normally associated with painful vaginal bleeding in the second or third trimester, placental abruption following a traumatic event can occur without significant vaginal bleeding or regular uterine contractions.
Third Trimester Vaginal Bleeding
Always admit... Avoid pelvic exams.
Trauma in pregnancy: Core knowledge and key skills. St Emlyn’s
Placental abruption and uterine rupture, these sound nasty…
