Snapshot A 30-year-old G1P0 woman at 36 weeks of gestation presents to the emergency room with sudden onset of moderate back pain and strong uterine cramping that began 2 hours ago. Thirty minutes prior to the onset of back pain she noted bright red vaginal bleeding. She has had no prenatal care. On physical exam she is afebrile; her blood pressure is 130/80 mmHg, pulse is 109/min, and respirations are 18/min. Abdominal palpation reveals a gravid, hypertonic uterus and palpable uterine contractions. You observe blood in the vaginal vault. Results of transabdominal ultrasound demonstrate retroplacental hemorrhage. Introduction Overview login to view 3 more bullets Epidemiology Incidence login to view 2 more bullets Demographics login to view 1 more bullet Risk factors login to view 18 more bullets ETIOLOGY Pathophysiology login to view 2 more bullets Presentation Symptoms login to view 3 more bullets Physical exam login to view 8 more bullets Imaging Ultrasound login to view 6 more bullets Studies Serum fibrinogen login to view 2 more bullets Pathologic placental evaluation login to view 1 more bullet Differential Placenta previa login to view 2 more bullets Uterine rupture login to view 11 more bullets Normal or pre-term labor login to view 2 more bullets Treatment Medical login to view 33 more bullets Surgical login to view 6 more bullets Complications Disseminated intravascular coagulation (DIC) login to view 2 more bullets Hemorrhagic shock Maternal death Recurrence risk in future pregnancies login to view 1 more bullet Fetal anemia Fetal death login to view 1 more bullet Prognosis Mother login to view 5 more bullets Fetus login to view 2 more bullets