Concealed vs revealed placenta abruptio? ?

Concealed placenta abruptio occurs when there is bleeding behind the placenta that is not visible externally, while revealed placenta abruptio involves bleeding that is visible externally. Concealed placenta abruptio can be more dangerous as the bleeding may not be immediately apparent, leading to a delay in diagnosis and treatment.

Concealed Placental Abruption

- Placental separation occurs beneath an intact amniotic membrane.
- Blood collects behind the placenta.
- Uterus is firm and board-like (woody uterus).
- Vaginal bleeding may be minimal or absent.
- Abdominal pain is often intense but can be vague.
- Can lead to maternal and fetal hypovolemic shock.

Revealed Placental Abruption

- Placental separation occurs at the membrane edge.
- Blood leaks out of the cervix and vagina.
- Vaginal bleeding is usually heavy.
- Uterus is soft and relaxed.
- Abdominal pain is typically mild to moderate.
- Fetal distress is less common compared to concealed abruption.