Question 92 · LEK · Placenta previa

Which of the following is the correct management of a 30-year-old patient in 37th week of her first pregnancy who was diagnosed with the minor type of placenta previa confirmed by repeated US examination and reports minor bleeding from the reproductive tract?

  1. A. transvaginal palpation, transvaginal ultrasound examination, conservative treatment (pregnancy continuation up to 38 weeks).
  2. B. transvaginal palpation, CTG monitoring, vaginal delivery.
  3. C. assessment of the general condition of the mother, fetal pulse monitoring, preparations and performing caesarean section.
  4. D. assessment of the general condition of the mother, fetal pulse monitoring, vaginal delivery.
  5. E. speculum examination, intravenous fenoterol infusion, pregnancy continuation up to 38 weeks.
Hint

Consider what a digital vaginal examination could provoke in placenta previa and whether a term fetus gains anything from delay.

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