Is vaginal delivery with placental abruption considered a difficult labor?

Vaginal delivery with placental abruption is considered a complicated labor. Cesarean section is indicated in cases of placenta previa, placental abruption, or when maternal conditions contraindicate vaginal delivery. Placental abruption associated with pregnancy-induced hypertension, kidney disease, and other conditions primarily involves systemic vascular lesions, leading to vaginal bleeding that is typically dark red in color and substantial in volume, along with mild abdominal pain. In more severe cases of placental abruption, sudden and persistent abdominal or lower back pain may occur.