Treatment of Placental Abruption Sometimes prompt delivery and aggressive hemodynamic supportive measures (eg, in a term pregnancy or for maternal or possible fetal instability) Trial of hospitalization for observation if the pregnancy is not near term and if mother and fetus are stable Prompt cesarean delivery is usually indicated if placental abruption plus any of the following is present: Maternal hemodynamic instability Nonreassuring fetal heart rate pattern Term pregnancy (≥ 37 weeks); preterm delivery possibly necessary if the mother or fetus is at risk of severe morbidity or mortality Once delivery is deemed necessary, vaginal delivery may be attempted if all of the following are present: The mother is hemodynamically stable.