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?
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
Abruptio placenta
Fetal distress
Ectopic pregnancy
Placenta Pre
FMGE 2019