Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents for evaluation of placenta previa diagnosed via ultrasound. Reports [no/intermittent] painless vaginal bleeding. Denies uterine contractions, leakage of fluid, or decreased fetal movement. Current gestational age: [weeks].
Clinical Examination Findings
Abdominal exam: Uterus soft, non-tender, fundal height appropriate for gestational age. Fetal heart tones: [Rate] bpm, regular. Speculum exam: Deferred due to placenta previa (avoid cervical manipulation). Digital cervical exam: Strictly contraindicated.
Treatment Protocol
Strict pelvic rest (no intercourse, no douching, no digital exams). Monitor for heavy vaginal bleeding or contractions. Administer corticosteroids if <34 weeks. Schedule elective Cesarean section at 36w0d–37w6d. Prophylactic RhoGAM if Rh-negative.