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Consider if motor vehicle collision and/or seat belt bruise on abdomen Clinical Presentation Clinical Presentation Vaginal bleeding is often painless, with brilliant pink blood Vaginal bleeding in 80% of instances, however may be Blood loss is usually not large with preliminary bleed, however concealed (retroplacental bleeding); therefore, bleeding tends to recur and turn out to be heavier as the being pregnant maternal hemodynamic scenario is probably not progresses, blood loss is in line with visualized bleed; explained by observed blood loss uterine tone not elevated and complete leisure of uterus Pain and elevated uterine tone typical and between contractions incomplete leisure of uterus between contractions Pain will increase with severity Physical Findings Physical Findings Heart rate may be regular or elevated Dependent on degree of detachment, amount of Blood stress normal, low or hypotensive blood loss Postural blood strain drop may be present With delicate abruption, indicators may be minimal Fetal heart rate often regular Heart price mildly to severely elevated Mild misery to frank shock Blood strain normal, low or hypotensive Bright pink bleeding per vagina Fetal coronary heart rate elevated, reduced or absent Fundal top according to dates Client might seem like in acute distress Uterus soft, regular tone, nontender Client may be pale or unconscious (if in shock) Uterine measurement according to dates Vaginal bleeding reasonable, profuse or absent Transverse, indirect or breech lies common If membranes ruptured, amniotic fuid may be bloody Should be suspected in client with persistent breech Uterus could also be bigger than expected for dates presentation Uterus tender Fetal coronary heart price is dependent upon amount of bleeding Increased uterine tone (tense or hard) Advisability of speculum examination debatable Uterine contractions could also be present and extended Digital cervical examination must be averted until placenta Uterus might fail to loosen up utterly between previa is ruled out by an ultrasound scan report at 18 20 contractions weeks or beyond that confrms the placenta is free from the os or till an ultrasound can be done to rule out placenta previa. 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