You have been called to a home for a female in labor. On scene, the family tells you that the 37-year-old patient is 42 weeks pregnant and wanted to have her baby at home naturally. The patient has been in labor for more than 24 hours, but suddenly began complaining of severe and tearing abdominal pain. Which condition should the EMT suspect?

A) Placenta previa
B) Preeclampsia
C) Ectopic pregnancy
D) Ruptured uterus

D) Ruptured uterus