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The most common symptom of placenta previa is vaginal bleeding that is bright red and not associated with abdominal tenderness or pain, especially in the third trimester of pregnancy. However, each woman may exhibit different symptoms of the condition or symptoms may resemble other conditions or medical problems.
A placental abruption (abruptio placentae) is when a normally implanted placenta separates from the uterus after 20 weeks gestation (less then 20 weeks gestation is considered a spontaneous abortion). It occurs in approximately 0.5-1% of pregnancies in North America (Broers et al, 2004).he classical presentation is that a placental abruption is painful bleeding and a placenta previa is painless, however a woman with a placenta previa can also be contracting and thus can be in pain as well. A pelvic exam should not be done until a placenta previa can be ruled out as this can trigger further bleeding.