<prompt> A 32 week pregnant lady presents in emergency room with continuous bleeding per vaginum. The uterus is painful and tender. Most likely diagnosis is:Circumvallate placentaRupture of membranesPlacenta preAccidental hemorrhage  <response>: The above mentioned symptoms are usually seen in antepaum Hemorrhage. Most common type of APH is Accidental hemorrhage also known as abruptio placentae 32 percent , Placenta pre 21 percent, and cervical bleeding 6.6 percent. Abruption will have painful bleeding which is due to intravasation of blood into the uterine muscle Couvulaire uterus. 