Clinical manifestations of third-degree placental abruption include shock symptoms such as pallor, cold extremities, thin pulse, and drop in blood pressure. Abdominal examination reveals that the uterus is hard like a plate, and it fails to relax between contractions, and the fetal position is not clear, and the fetal heartbeat is absent. The grading of placenta previa has changed, and the severity of the condition is now assessed using the Page grading scale for placenta previa. This is generally categorized into four grades; grade 0 is a retrospective postpartum diagnosis after delivery; grade I, with external hemorrhage, uterine tenderness, and no fetal distress; grade II, with intrauterine fetal distress or fetal demise; and grade III, where the mother presents with signs of shock, with or without disseminated intravascular coagulation. In the presence of placental abruption doctors will choose different treatment options depending on the severity of placental abruption and the condition of the fetus. However, once the diagnosis of grade II or III placental abruption is confirmed, the pregnancy should be terminated promptly.