A 28-year-old primigravida at 36 weeks gestation is involved in a minor RTC. She is wearing a seatbelt. She reports mild abdominal pain but no vaginal...

Question

A 28-year-old primigravida at 36 weeks gestation is involved in a minor RTC. She is wearing a seatbelt. She reports mild abdominal pain but no vaginal bleeding. Her vital signs are normal. However, she reports reduced foetal movements since the accident. What is the most important concern in this clinical scenario?

Accepted Answer

Placental abruption - which can present with normal initial observations and no external bleeding

Answer

Foetal distress from seatbelt compression only - no ongoing risk

Answer

Uterine rupture - this is the most common pregnancy-related injury in RTCs

Answer

Premature labour - the minor RTC may have initiated contractions

Answer

Bladder injury - pregnant women have a higher risk due to displaced bladder

uk-dipimc MCQ (SBA): Placental Abruption in Trauma