True about abruptio placentae are all except: September2008

Ans. B: Placenta Lying in the Lower Segment Abruptio placentae: It is a form of antepaum hemorrhage where bleeding occurs due to premature separation of normally situated placenta. Hypeension in the pregnancy is impoant predisposing factor Symptoms -- Vaginal Bleeding (78%) -- Abdominal Pain (66%)-May be severe and constant, posterior placenta may present with back pain Signs - Vital signs suggestive of cardiovascular compromise-Tachycardia, ohostatic changes in Blood Pressure and pulse - Evaluate for external signs of trauma - Uterus hypeonic or tense (Couvelaire Uterus)-Fundus tender to palpation