Ms. Li, 25 years old, was admitted to Clifford Hospital due to intrauterine pregnancy for 37 weeks and 1 day, vaginal discharge with lower abdominal pain for 40 minutes. 

Physical examination found continuous uterine contraction, vaginal bleeding, decreased fetal heart rate. With consideration of placental abruption and fetal distress. Low-segment Cesarean section was performed, and a baby girl was delivered with 2.2 kg weight. Fetal membrane and placenta were delivered later. The blood clot about 500 ml was removed from the uterus. With inspection, the posterior and anterior uterine walls were bruising, and contraction didn’t go well. Treatments including massage, injection, blood transfusion, etc were given to her. After 7 days, Ms. Li was recovered and discharged, and her baby was in good condition.    

Comment:

Placental abruption is a serious complication of pregnancy wherein the placenta peels away from the inner wall of the uterus before delivery either partially or completely. It can deprive the baby of oxygen and nutrients and cause heavy bleeding in the mother. Placental abruption often occurs suddenly. If untreated immediately, it puts both mother and baby in jeopardy.