How should I manage a patient with placental abruption who presents with mild symptoms and stable vital signs?

Management of a patient with placental abruption presenting with mild symptoms and stable vital signs involves:

• Immediate clinical assessment by a healthcare professional experienced in obstetric complications to evaluate maternal and fetal condition, including vital signs and bleeding severity.
• Continuous monitoring of maternal observations such as pulse, blood pressure, respiratory rate, and urine output, as well as fetal wellbeing, to detect any deterioration promptly.
• Admission to an obstetric unit for close observation and readiness for escalation of care if symptoms worsen, given the risk of progression to severe abruption or fetal compromise.
• Preparation for potential urgent delivery if maternal or fetal condition deteriorates, as placental abruption can rapidly become life-threatening.
• Provide clear information and support to the woman about symptoms that require immediate reporting, such as increased bleeding, pain, or changes in fetal movements.

This approach aligns with NICE recommendations to ensure careful monitoring and timely escalation in obstetric complications including placental abruption, even when initial presentation is mild and stable ³,².