In the obstetric trauma scenario, which term best fits the likely diagnosis?

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Blunt trauma to the abdomen in pregnancy can cause the placenta to separate from the uterine wall before delivery, known as placental abruption. This produces painful vaginal bleeding, a tender or firm uterus, and potential fetal distress. Those features fit a trauma scenario best because the pain and uterine tenderness point to placental separation rather than simple bleeding. In contrast, placenta previa usually presents with painless bleeding with a soft uterus, ectopic pregnancy presents earlier in pregnancy with pain and bleeding but not driven by trauma, and miscarriage involves early pregnancy loss with cramping and a shrinking uterus. So the scenario aligns most with placental abruption. Management emphasizes maternal stabilization, continuous fetal monitoring, IV access with possible blood products, and urgent obstetric evaluation to guide delivery.