- Premature separation of placenta from the uterine wall.
- Common in older gravidas, hypertensives, with previous history, of experienced direct trauma, and with fibrin defects.
- Classic manifestation in third trimester is painful, dark red, non-clotting vaginal bleeding. Also, abdominal or low back pain, hypertonic to tetanic uterus, enlarged uterus with tenderness and fetal distress.
- In concealed bleeding, signs of hypovolemia beyond observed blood loss, increase in abdominal girth and fundic height.
- Ultrasound reveals normal result; but with decreased hematocrit and hemoglobin and increased clot retraction.
- Complications includes shock and coagulopathy (DIC)
Degrees of Separation:
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Common Diagnosis and expected outcomes:
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