Placental Abruption Trauma CS — FRCA Final MCQ

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ModerateTrauma & Emergency AnaesthesiaPlacental Abruption Trauma CSFRCA Final

32-week pregnant woman in RTC: PV bleeding, rigid tender uterus, fetal bradycardia on CTG. Priority?

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Correct answer: A — Immediate emergency CS

Rigid tender uterus + PV bleeding + fetal bradycardia = placental abruption. With fetal distress: immediate CS. Simultaneous resuscitation. DIC develops rapidly — check fibrinogen urgently (target >2 g/L). GA often necessary due to urgency and coagulopathy.

Reference: RCOG – 2022 – GTG: Trauma in pregnancy