Complications

Question 1

Placenta praevia presentation

Answer 1

Shock in keeping with blood loss
No pain
Uterus not tender
Lie and presentation may be abnormal
Foetus not usually distressed
Coagulation problems rare
Small bleeds before large bleed

Question 2

Placental abruption presentation

Answer 2

Shock out of keeping with blood loss
Constant pain
Uterus tender and tense
Lie and presentation usually normal
Foetal distress
Coagulation problems

Look for: pre-eclampsia, DIC, anuria