PLACENTAL ABRUPTION

Symptoms and signs:

  • Sudden onset of painfull uterine contractions
  • Vaginal bleeding
  • Shock
  • Uterus tender on palpation

FETUS ALIVE

  • Gestational age > 36 weeks   
    • Deliver by C/S
  • Gestational age < 36 weeks    
    • Vaginal delivery
  • Gestational age unknown
    • Use best guess

FETUS DEAD

  • Vaginal delivery 
  • Destructive delivery if needed    

The uterus appears battered: