A lady with 32wks and 3 days of pregnancy presents with vaginal bleeding. A recent USG done on her mentioned a placenta pre. in which of the following situation it is possible to do a conservative management ?
APH in placenta pre First episode of bleeding in placenta Pre usually subsides with conservative management in 90% of cases. Thus APH prior to 34 weeks may be managed conservatively. This is the basis of the Mcaffee Jhonsons conservative management in APH due to placenta pre Conservative management is contraIndicated when: Pregnancy >37 weeks Maternal decompensation secondary to significant bleeding Fetal distress Intra Uterine fetal death Malformed Fetus Malpresentation or malposition is not a contraindication to conservative management!
Fetal hea rate of 86/min
Intra Uterine Fetal Death
Transverse lie
Significant bleeding making mother hemodynamically unstable
Antepaum Haemorrhage