A 33-year-old woman at 32 weeks' gestation presents with painless bright-red vaginal bleeding. She is haemodynamically stable, fetal heart rate is

Question

A 33-year-old woman at 32 weeks' gestation presents with painless bright-red vaginal bleeding. She is haemodynamically stable, fetal heart rate is normal, and the placenta was low-lying on the anatomy scan. What is the most appropriate next step in management?

Accepted Answer

Avoid digital vaginal examination and perform ultrasound assessment

Answer

Give methotrexate to reduce bleeding

Answer

Discharge without fetal or placental assessment

Answer

Induce labour immediately with oxytocin

Answer

Perform digital cervical examination to assess dilation

Placenta previa — MCCQE Part 1 MCQ

A 33-year-old woman at 32 weeks' gestation presents with painless bright-red vaginal bleeding. She is haemodynamically stable, fetal heart rate is normal, and the placenta was low-lying on the anatomy scan. What is the most appropriate next step in management?