A 36 year old woman presents with heavy, irregular vaginal bleeding and lower abdominal pain at 18 weeks gestation. Ultrasound shows placenta complete...

Question

A 36 year old woman presents with heavy, irregular vaginal bleeding and lower abdominal pain at 18 weeks gestation. Ultrasound shows placenta completely covering the internal cervical os. She is haemodynamically stable. According to UK guidance, what is the most appropriate advice regarding mode of delivery?

Accepted Answer

Elective caesarean section at term is recommended

Answer

Attempt vaginal delivery as placenta will likely move

Answer

Induce labour at 37 weeks for vaginal birth

Answer

Offer trial of labour with continuous fetal monitoring

Answer

Recommend home birth with midwife led care

uk-plab-1 MCQ (SBA): Placenta praevia and mode of delivery