Patients usually present with the following symptoms:
- Vaginal bleeding - 80%
- Abdominal or back pain and uterine tenderness - 70%
- Fetal distress - 60%
- Abnormal uterine contractions (eg, hypertonic, high frequency) - 35%
- Idiopathic premature labor - 25%
- Fetal death - 15%

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