Couvelaire uterus

http://en.wikipedia.org/wiki/Couvelaire_uterus

28/40 kn0wn t0 have retroplacental bleed at 18/40. of approximately of 8cms in size presented with bleeding and the bleeding got settled up unitl 28 weeks of gestation. At 28 weeks she presented with bleeding and pain. CTG was normal. She had a scan which showed retroplacental clot and normally grown fetus and normal liqour volume. During the two days of her admission this tiem she kept going to the toilet more frequently to open her bowels. At one stage suddenly the CTG became abnormal within a span of 10 minutes with a tachycardic baseline and decrease in the variability. A decision for cesarean delivery taken. During cesarean section she was found to have hemoperitoneum