This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Labor Management Protocols, Subject name: Gynaecology & Obstetrics
[{'content': 'Which of the following is a sign of placental separation in stage III of labor: \nSelect and explain. \nA. Gushing of blood, B. Discoid uterus, C. Filling of placenta in vagina, D. Increase in blood pressure', 'role': 'user'}, {'content': 'Answer: A \nExplanation: Ans. (a) Gushing of bloodRef. D.C Dutta 7h Ed. H31-312Clinical Course of Third Stage Of Labour* Third stage includes separation, descent and expulsion of the placenta with its membrane.Signs before and after placental separation* BEFORE SEPARATION: uterus becomes discoid in shape, firm in feel and non-ballottable.# Fundal height reaches slightly below the umbilicus* AFTER SEPARATION# Uterus becomes globular firm and ballotable# The fundal height is slightly raised# Sudden gush of vaginal bleeding upon separation.# Permanent lengthening of the cord.', 'role': 'assistant'}]