<prompt> In accidental hemorrhage, TOC:Induction of laborRx of hypofibrinogenemia then blood transfusionSimultaneous emptying of uterus and blood transfusionWait and watch  <response>: Ans. is c, i.e. Simultaneous emptying of uterus and blood transfusionRef: Williams Obs 23e. p 767: Dutta Obs. 7e, p 257, 258; COGDT 10e, p 333The basic principle in the management of abruptio is termination of pregnancy along with correction of hypovolemia and restoration of blood loss.With massive external bleeding, intensive resuscitation with blood plus crystalloids and prompt delivery to control Hemorrhage are life saving for mother and hopefully fetus. --Williams Obs. 23e, p 767This means option c is correctExpectant management of suspected placental abruption is the exception, not the rule. This management pathway should be attempted only with careful observation of the patient and a clear clinical picture. Option d ruled out --COGDT 10e, p 333, 334Correction of hypofibrinogenemia i.e. Option bA rational approach in abruptio should be to withhold any specific therapy to rectify the coagulation disorders except in the circumstances such as overt bleeding or clinically evaluated thromboembolic process. --Dutta Obs. 6e, p 260 