Which of the following is false regarding placenta pre?
Correct Answer: Painful recurrent vaginal bleeding
Description: Painful vaginal bleeding is not a clinical feature of placenta pre as the bleeding is painless. Clinical features of placenta pre: Sudden-onset recurrent painless vaginal bleeding: First bleeding usually appears after the end of the second trimester or later and is usually mild and not fatal. This is called &;Sentinel bleed&; The size of uterus corresponds to gestational age Uterus is relaxed, soft, no tenderness Floating head Fetal hea sound is present unless there is major seperation and the patient is exsanguinated. Slowing of fetal hea rate on pressing the head down into the pelvis which recovers promptly as pressure is relieved is suggestive of a low-lying placenta especially of posterior type: Stallwohy sign. Pervaginal Examination should not be done in suspected placenta pre, whereas it can be only done in the operation theatre with all the arrangements for CS. Ref: DC Dutta&;s textbook of obstetrics 8th edition Pgno: 284 , 285
Category:
Gynaecology & Obstetrics
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