A female at 37 week of pregnancy comes with grade 3 placenta pre, bleeding per vaginum with uterine contractions. What is the MOST appropriate management in this patient?
The best management in this patient presenting with grade 3 placenta pre, bleeding per vagina and uterine contraction is emergency LSCS. Also know: Other indications of LSCS in patients with placenta pre are: Severe degree of placenta pre (type II posterior, type III, type IV) Lesser degree of placenta pre when amniotomy fails to stop bleeding or fetal distress appears. Complicating factors associated with lesser degrees of placenta pre where vaginal delivery is unsafe. Ref: Textbook of Obstetrics By D.C Dutta, 6th edn, page 252
Dexamethasone and nifedipine
Bed rest and sedation
Wait and watch
Emergency LSCS