Medicolegal Pitfalls :

• Some patients may not have the classic presentation of abruption, especially with posterior implantation.
• Consider a diagnosis of placental abruption for every patient in premature labor. Carefully monitor patients to exclude or establish this diagnosis.
• Absence of vaginal bleeding does not exclude placental abruption.
• DIC/coagulopathy may occur even if clotting factors initially are within reference ranges. Continue to monitor clotting factors.
• Normal ultrasound findings do not exclude placental abruption.