Managing Complications in Pregnancy and Childbirth: - IAWG

S-120 Abdominal pain in later pregnancy and after childbirthDIAGNOSISTABLE S-16Diagnosis of abdominal pain in later pregnancy and afterchildbirthPresenting Symptom andOther Symptoms and SignsTypically PresentSymptoms and SignsSometimes PresentProbable Diagnosis• Palpable contractions• Blood-stained mucusdischarge (show) or waterydischarge before 37 weeks• Palpable contractions• Blood-stained mucusdischarge (show) or waterydischarge at or after 37weeks• Intermittent or constantabdominal pain• Bleeding after 22 weeksgestation (may be retained inthe uterus)• Severe abdominal pain (maydecrease after rupture)• Bleeding (intra-abdominaland/or vaginal)• Abdominal pain• Foul-smelling watery vaginaldischarge after 22 weeksgestation• Fever/chills• Cervical dilatation andeffacement• Light a vaginal bleeding• Cervical dilatation andeffacement• Light vaginal bleeding• Shock• Tense/tender uterus• Decreased/absent fetalmovements• Fetal distress or absentfetal heart soundsPossible pretermlabour, page S-122Possible termlabour, page C-57Abruptio placentae,page S-18• ShockRuptured uterus,• Abdominal distension/ free page S-20fluid• Abnormal uterine contour• Tender abdomen• Easily palpable fetal parts• Absent fetal movementsand fetal heart sounds• Rapid maternal pulse• History of loss of fluid• Tender uterus• Rapid fetal heart rate• Light vaginal bleedingAmnionitis, pageS-139