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Placental abruption — RCPSC EM MCQ

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HardOB/GYN emergenciesPlacental abruptionRCPSC EM

A 34-year-old at 35 weeks gestation has painful vaginal bleeding after abdominal trauma. Uterus is tender and firm, fetal heart tracing is non-reassuring, and maternal BP is 94/58. What is the most likely diagnosis?

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Correct answer: E — Placental abruption

Painful third-trimester bleeding with uterine tenderness, trauma and fetal distress is most consistent with placental abruption.

Reference: SOGC antepartum haemorrhage guidance; emergency obstetric standards