Introduction: This is a case report of a 29 G3P1+1 who came at 35W+POA with strong contractions. CTG was reactive. Foetal EBW was 2.3 kg, she was put on tocolysis and given 2 doses of IM Dexamethasone. The contractions reduced but did not totally stop. Her obstetrician decided for delivery as patient was also GBS +ve and the hospital’s NICU could support baby’s neonatal needs.
Progress: She delivered a 2.3 kg baby boy the next day with good Apgar Score. 300 mls of retro-placental clots was discovered during 3rd stage. The placenta was pathologically adherent, requiring MRP in OT, the patient had PPH of 1.5L.
Conclusion: Premature labours can be associated with abruptio placenta, poor foetal outcome and even foetal death. A high index of suspicion should be in mind and early delivery might be the wisest choice.
Keywords: Abruptio Placenta, premature labour, PPH, MRP, tocolysis, placenta accreta