Boisrame et al listed clinical features of placental abruption during pregnancy. The authors are from Strasbourg University Hospital in France.


Clinical findings in a woman with placental abruption:

(1) metrorrhagia

(2) abnormal fetal heart rate

(3) abdominal-pelvic pain

(4) uterine hypertonia

(5) preterm premature rupture of the membranes

(6) hypertension or pre-eclampsia


The classic triad for abruption is metrorrhagia, abdominal-pelvic pain and uterine hypertonia occurs in only about 10% of patients.


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