A 34-year-old woman, gravida 3 para 2, at 38 weeks of gestation attends the GP. She has a known placenta praevia (major - covering the internal os at ...

Question

A 34-year-old woman, gravida 3 para 2, at 38 weeks of gestation attends the GP. She has a known placenta praevia (major - covering the internal os at 32-week scan). She is asymptomatic with no bleeding. She asks about the recommended mode of delivery. Which is the single most appropriate advice?

Accepted Answer

Planned caesarean section, typically between 36+0 and 37+0 weeks of gestation, is recommended for major placenta praevia

Answer

She can attempt a vaginal delivery if she has not bled

Answer

Induction of labour at 39 weeks

Answer

Await spontaneous labour with a plan for emergency caesarean if needed

Answer

Caesarean section at 34 weeks with corticosteroids

uk-drcog MCQ (SBA): Major Placenta Praevia - Delivery Planning

A 34-year-old woman, gravida 3 para 2, at 38 weeks of gestation attends the GP. She has a known placenta praevia (major - covering the internal os at 32-week scan). She is asymptomatic with no bleeding. She asks about the recommended mode of delivery. Which is the single most appropriate advice?