What should you know about placental abruption abdominal pain?

Placental abruption happens when the placenta separates from the uterine wall before birth. Pain may feel like constant abdominal or back pain, tenderness, tightening or repeated contractions. Vaginal bleeding can occur, but blood may remain behind the placenta, so the amount you see does not show how serious the problem is.

This pain can resemble other pregnancy problems, and only an examination and maternity assessment can identify the cause. Clinicians may check your vital signs, the baby’s heart rate, contractions and blood tests while deciding what care is needed.

If you have new, significant or persistent abdominal pain during pregnancy, contact your maternity unit immediately and describe where it is, when it began and whether the abdomen feels tender or tight. Do not wait to see whether visible bleeding appears. Rest while arranging help, take your antenatal information and do not drive if the pain is severe or you feel faint.

Treatment depends on the pregnancy stage, the baby’s condition, the amount of separation and your health. If urgent birth is needed, the team may discuss Caesarean Section.

Call emergency services for severe or worsening abdominal pain, a hard or tender abdomen, heavy bleeding, faintness, dizziness, contractions, fluid loss or reduced fetal movement. A fall or blow to the abdomen followed by pain also needs immediate assessment. Keep track of symptoms, but do not delay going to hospital to collect details.

Ask: What is causing the pain? How are my vital signs and the baby’s heart rate? Is there evidence of contractions or placental separation? What symptoms should bring me back immediately? How will you monitor me, and when would Caesarean Section or another birth plan be considered?