In the case of a pregnant patient with severe abdominal pain, what condition must be ruled out?

In a pregnant patient presenting with severe abdominal pain, it is crucial to rule out placental abruption. This condition occurs when the placenta detaches from the uterine wall before delivery, leading to bleeding and the potential for significant maternal and fetal complications. The symptoms often include sudden onset abdominal pain, vaginal bleeding, and changes in fetal heart rate.

Due to the urgency and risks associated with placental abruption, especially the potential for fetal distress, it is essential to promptly assess this diagnosis. If not recognized and managed, placental abruption can lead to severe complications, including preterm delivery or fetal demise.

While other conditions like severe constipation, gallstones, or urinary tract infections can cause abdominal pain during pregnancy, they typically do not carry the same level of immediate risk to both mother and fetus as placental abruption. Thus, the prioritization of ruling out this condition can significantly impact the management and outcome for both the patient and the baby.