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Hi Ciara
According to the research, the main contributing factor to abruption in Western contexts is anaemia. Any clients who have persistent anaemia should be watched for any signs of abruption. In the case you’ve outlined, it’s tricky because wasn’t any bleeding, which is usually the main sign. But sometimes the blood pools in the uterus and hence there is pain, but no bleeding straight away. Any pain during pregnancy should be investigated though – and I imagine that her pain would have been quite significant, so it’s even more unfortunate that your client’s pain was not investigated properly.
How is she doing?
Thanks
Kate