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Placental abruption
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=== Classification === Based on severity:{{cn|date=August 2024}} * '''Class 0:''' Asymptomatic. Diagnosis is made retrospectively by finding an organized blood clot or a depressed area on a delivered placenta. * '''Class 1:''' Mild and represents approximately 48% of all cases. Characteristics include the following: ** No vaginal bleeding to mild vaginal bleeding ** Slightly tender uterus ** Normal maternal blood pressure and heart rate ** No [[coagulopathy]] ** No [[fetal distress]] * '''Class 2:''' Moderate and represents approximately 27% of all cases. Characteristics include the following: ** No vaginal bleeding to moderate vaginal bleeding ** Moderate-to-severe uterine tenderness with possible tetanic contractions ** Maternal tachycardia with orthostatic changes in blood pressure and heart rate ** Fetal distress ** Hypofibrinogenemia (i.e., 50β250 mg/dL) * '''Class 3:''' Severe and represents approximately 24% of all cases. Characteristics include the following: ** No vaginal bleeding to heavy vaginal bleeding ** Very painful tetanic uterus ** Maternal shock ** [[Hypofibrinogenemia]] (i.e., <150 mg/dL) ** Coagulopathy ** Fetal death
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