CPM Certified Professional Midwife

Category - Labor, Birth, and Immediate Postpartum

A pregnant woman (third gravida) at near the 37th week of pregnancy presented with severe pain in lower abdomen. What could be the cause?
  1. Premature labor pain
  2. Abruptio placentae
  3. Ruptured uterus
  4. All of the above
Explanation
Answer: D - All of the above

Some possible causes of the severe pain experienced by the patient in her lower abdomen include premature labor pain, abruptio placentae, ruptured uterus, torsion of the uterus, pre - eclampsia, acute appendicitis, and intestinal obstruction. Labor that occurs before the 37th week of pregnancy (from the first day of the last menstrual cycle) is considered premature labor. Disruption in the continuity of the uterine wall at any time beyond 28 weeks of pregnancy is termed rupture of the uterus.
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