Which physical symptom is associated with significant uterine contractions in cases of abruptio placentae?

In cases of abruptio placentae, a board-like abdomen is a significant physical symptom associated with intense uterine contractions. This condition, characterized by the premature separation of the placenta from the uterine wall, often leads to increased tension in the abdominal muscles due to frequent and powerful contractions. As a result, the abdomen becomes rigid and firm, resembling a board, which is indicative of sustained uterine contraction activity.

The presence of a board-like abdomen suggests significant uterine activity that can lead to further complications, including hemorrhage and fetal distress. This symptom serves as a crucial indicator for healthcare providers to assess the severity of the situation and take necessary measures to ensure both maternal and fetal safety. In contrast, a soft abdomen or normal uterine tone would not be expected in such a situation, as they indicate reduced or normal uterine activity rather than the intense contractions associated with abruptio placentae. Painful cramps might occur, but the defining characteristic in this context is the board-like firmness of the abdomen.