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Usha Bhandari
Asked: 2022-10-31T15:44:53+05:30 In:

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 management
2. Cesarean section
3. Induction and vaginal delivery
4. Induction and forceps delivery

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 management
2. Cesarean section
3. Induction and vaginal delivery
4. Induction and forceps delivery
Upsc
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1 Answer

  1. 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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