'Double set up examination' is concerned with
- 'Double set up of examination' is done when there is suspicion of placenta pre and patient is having bleeding. - It is done under anesthesia, in operation theater, keeping everything ready for cesarean section. - A Digital examination through the cervix is done. Palpation of placenta on lower segment not only conclusively confirms the clinical diagnosis but also identifies its degree. *If the placenta is not felt within approximate 10 cms diameter of the internal os, then the patient can be taken up for a trial of normal vaginal delivery *If the placenta is felt within 10 cms of the cervical rim or if there is bleeding due to the examination, then an immediate cesarean section is performed
Placenta pre
Manual removal of placenta
Twin pregnancy
Bicornuate uterus
Antepaum Haemorrhage