Which signs are associated with placental abruption?

Which signs are associated with placental abruption?

• A. Painful vaginal bleeding, uterine tenderness or hypertonicity, abdominal pain, non-reassuring fetal tracing (late decelerations or brady), signs of hypovolemia
• B. Painless vaginal bleeding
• C. No bleeding with hypertension
• D. Polyuria and polydipsia

Answer: (A)

Placental abruption happens when the placenta prematurely separates from the uterus, leading to painful vaginal bleeding and signs of both maternal and fetal distress. The most telling signs are a painful bleed with uterine tenderness or a hypertonic (firm) uterus and abdominal pain, reflecting ongoing bleeding and uterine irritability. Nonreassuring fetal tracing, such as late decelerations or fetal bradycardia, indicates the fetus is not getting adequate oxygen due to impaired placental perfusion. As blood loss accumulates, maternal signs of hypovolemia—like tachycardia and hypotension—can develop. Painless vaginal bleeding, no bleeding with hypertension, or polyuria and polydipsia are not characteristic of placental abruption; they align more with placenta previa, gestational hypertension without bleeding, or glucose/antidiuretic-related conditions, respectively.

Placental abruption happens when the placenta prematurely separates from the uterus, leading to painful vaginal bleeding and signs of both maternal and fetal distress. The most telling signs are a painful bleed with uterine tenderness or a hypertonic (firm) uterus and abdominal pain, reflecting ongoing bleeding and uterine irritability. Nonreassuring fetal tracing, such as late decelerations or fetal bradycardia, indicates the fetus is not getting adequate oxygen due to impaired placental perfusion. As blood loss accumulates, maternal signs of hypovolemia—like tachycardia and hypotension—can develop. Painless vaginal bleeding, no bleeding with hypertension, or polyuria and polydipsia are not characteristic of placental abruption; they align more with placenta previa, gestational hypertension without bleeding, or glucose/antidiuretic-related conditions, respectively.