A primigravida at 37 weeks reported to labor room with central placent

1.	A primigravida at 37 weeks reported to labor room with central placenta previa with heavy bleeding per vaginam. The FSH was normal at time of examination. The best management option for her is:1. Expectant management2. Cesarean section3. Induction and vaginal delivery4. Induction and forceps delivery
Answer» Correct Answer - Option 2 : Cesarean section Explanation Placenta is partially or completely attached to the lower uterine wall is called placenta previa. Risk factors Multiparity Increased maternal age Higher altitude Smoking Types Low lying Marginal Incomplete or partial central Central or total. Indications for LSCS in Placenta Previa Bleeding at or after 37 weeks. Uncontrolled heavy bleeding. Absent FSH Gross fetal malformation Dead fetus.

A primigravida at 37 weeks reported to labor room with central placenta previa with heavy bleeding per vaginam. The FSH was normal at time of examination. The best management option for her is:1. Expectant management2. Cesarean section3. Induction and vaginal delivery4. Induction and forceps delivery

Answer» Correct Answer - Option 2 : Cesarean section

Explanation

Placenta is partially or completely attached to the lower uterine wall is called placenta previa.

 Risk factors

Multiparity
Increased maternal age
Higher altitude
Smoking

Types

Low lying
Marginal
Incomplete or partial central
Central or total.

Indications for LSCS in Placenta Previa

Bleeding at or after 37 weeks.
Uncontrolled heavy bleeding.
Absent FSH
Gross fetal malformation
Dead fetus.

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