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Gynaecology & Obstetrics General obstetrics 2a150a85

Which of the following is true regarding accidental hemorrhage?

A
Painless bleeding PV
B
Uterus is tender
C
Uterine size is less than period of gestation
D
FHS is always absent
High-Yield Explanation
Tender uterus is a clinical features of accidental hemorrhage (also known as abruptio placenta) Abruptio placenta is otherwise called as accidental hemorrhage/Premature seperation of placenta. It can be of concealed/revealed/mixed type: Revealed Mixed Symptoms Abdominal discomfo or pain followed by bleeding Abdominal acute intense pain followed by slight bleeding General condition Propoionate to visible blood loss Shock may be pronounced which may be out of propoion to visible bleeding Uterine height Propoionate to period of gestation May be dispropoionately enlarged FHS Usually present Usually absent Revealed type is the common type Concealed type has maximum fetal distress Page&;s and Sher&;s classification is used for abruptio placenta. Ref: DC Dutta&;s Textbook of Obstetrics 8th edition Pgno: 294

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