A 32 week pregnant lady presents in emergency room with continuous bleeding per vaginum. The uterus is painful and tender. Most likely diagnosis is:
The above mentioned symptoms are usually seen in antepaum Hemorrhage. Most common type of APH is Accidental hemorrhage also known as abruptio placentae (32 percent) , Placenta pre (21 percent), and cervical bleeding (6.6 percent). Abruption will have painful bleeding which is due to intravasation of blood into the uterine muscle ( Couvulaire uterus).
Circumvallate placenta
Rupture of membranes
Placenta pre
Accidental hemorrhage
Antepaum Haemorrhage