Placental abruption
That’s how placental abruption looks like, a pile of tissue with the presence of a huge hematoma (blood clot) attached due to a concealed hemorrhage where the blood pooled behind the placenta. Placental abruption is the premature separation of the placenta from the uterus before childbirth, and it can present with acute vaginal bleeding (explaining the hemorrhage and hematoma or blood clot that can be formed between the placenta and uterus), a distended uterus with unstopped contractions, and abdominal pain. In the early stages of placental abruption, there may be no symptoms. When symptoms develop, they tend to develop suddenly. Hematoma formation further separates the placenta from the uterine wall, causing compression of structures and compromise of blood supply to the fetus, causing fetal distress. Treatment depends on the amount of blood loss and the status of the fetus. If the fetus is mature enough (more than 36 weeks) and is not in distress, immediate vaginal delivery may be indicated. If either the mother or fetus are in distress, Caesarean section is done.
