32 years old pregnant lady presented with mild bleeding and pain. On examination uterus is tender and fetal hea sounds is absent. What is diagnosis?: (A) Abruptio placenta, (B) Fetal distress, (C) Ectopic pregnancy, (D) Placenta Pre
Answer is A. The above case history is suggestive ofAbruptio placenta C/F: Bleeding is painful Can be revealed, concealed or usually mixed Dark colored Feel of uterus: May be tense, tender and rigid FHS: Usually absent especially in concealed type Placenta in upper segment Vaginal examination: Placenta is not felt on lower segment. Blood clots should not be confused with placenta Management: At 32 weeks: Resuscitation Steroids to baby Sedation Do ARM and deliver the baby