In placenta previa with bleeding, which action should be avoided?

In placenta previa with bleeding, which action should be avoided?

• A. Continuous fetal monitoring
• B. Bed rest
• C. IV fluids
• D. Vaginal examinations

Answer: (D)

When placenta previa is bleeding, avoid vaginal examinations because the placenta is implanted low, near or over the cervical os, and vaginal instrumentation can disrupting placental attachment and trigger heavy hemorrhage. The safest approach is to confirm previa with ultrasound, monitor the fetus externally, maintain the mother's fluid status with IV fluids, and position the patient to optimize uteroplacental blood flow (often on the left side). Bed rest may be advised in some cases to reduce bleeding risk, and be prepared for possible cesarean delivery if bleeding continues or labor begins. Vaginal exams are avoided to prevent provoking or worsening hemorrhage.

When placenta previa is bleeding, avoid vaginal examinations because the placenta is implanted low, near or over the cervical os, and vaginal instrumentation can disrupting placental attachment and trigger heavy hemorrhage. The safest approach is to confirm previa with ultrasound, monitor the fetus externally, maintain the mother's fluid status with IV fluids, and position the patient to optimize uteroplacental blood flow (often on the left side). Bed rest may be advised in some cases to reduce bleeding risk, and be prepared for possible cesarean delivery if bleeding continues or labor begins. Vaginal exams are avoided to prevent provoking or worsening hemorrhage.