A 29-year-old G3 P2 female at 32 weeks of gestation presents to the emergency dept. with a small amount of vaginal bleeding. She doesn’t have any pain. On examination, Her PR: 66/min, B/P: 100/70 mm of hg, RR: 10/min FHS tracings show fetal distress and shows late decelerations. What is the best course of action:
Correct Answer: Emergent cesarean section
Description: Now this question can be explained in 2 ways but answer still remains the same:
Expl 1: Patient is presenting at 32 weeks of gestation to the emergency department with a small amount of vaginal bleeding. She doesn’t have any pain., this could be a case of placenta previa.. now since there is fetal distress , we will do active management and terminate the pregnancy immediately by doing a cesarean section.
Expl 2: In this question patient has experienced small amount of painless vaginal bleeding…but the fetal distress doesnot coincide with the amount of blood loss, so probably this small amount of blood loss is fetal in origin this is why it has led to fetal distress i.e it is a case of vasa previa.
Management of vasa previa-Emergency cesarean section.
Category:
Gynaecology & Obstetrics
Get More
Subject Mock Tests
Practice with over 200,000 questions from various medical subjects and improve your knowledge.
Attempt a mock test nowMock Exam
Take an exam with 100 random questions selected from all subjects to test your knowledge.
Coming SoonGet More
Subject Mock Tests
Try practicing mock tests with over 200,000 questions from various medical subjects.
Attempt a mock test now