A 32 week pregnant lady presents in emergency room with continuous bleeding per vaginum. The uterus is painful and tender. Most likely diagnosis is:
Circumvallate placenta
Rupture of membranes
Placenta pre
Accidental hemorrhage
The above mentioned symptoms are usually seen in antepaum Hemorrhage. Most common type of APH is Accidental hemorrhage also known as abruptio placentae (32 percent) , Placenta pre (21 percent), and cervical bleeding (6.6 percent). Abruption will have painful bleeding which is due to intravasation of blood into the uterine muscle ( Couvulaire uterus).
Antepaum Haemorrhage