Question

A 29-year-old pregnant woman at 32 weeks’ gestation presents with a single episode of painless vaginal bleeding. She is haemodynamically stable and the fetus is moving normally. Placenta praevia was noted on her 20-week scan. What is the most appropriate immediate management?

Accepted Answer

Admit for observation, avoid vaginal examination and arrange urgent obstetric review

Answer

Perform a digital vaginal examination to assess cervical dilatation

Answer

Send her home with reassurance

Answer

Attempt external cephalic version in the emergency department

Answer

Induce labour immediately on the antenatal ward

Practice question

A 29-year-old pregnant woman at 32 weeks’ gestation presents with a single episode of painless vaginal bleeding. She is haemodynamically stable and the fetus is moving normally. Placenta praevia was noted on her 20-week scan. What is the most appropriate immediate management?