Constant Abdominal Pain in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#11880
SMLE Question #11880
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 27-year-old primigravida at 37 weeks’ gestation is in active labour (contractions every 3–4 minutes; cervix 4 cm; +1 station). She develops vaginal bleeding with constant abdominal pain and a tender, rigid uterus. Membranes are intact, and no cervical or vaginal trauma is seen. What is the most appropriate next step in management?
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