smalley
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a 32 yr old woman G5P4 is admitted to hospital at 32 weeks gestation b/c of mild red vaginal bleeding for 2 hrs.she has no pain or contractions.her last two children were delieverd by c/s. vitals are stable.fhr is 140/min. blood is drawn for complete blood count and typing an cross matching an administration of iv fluids begun.what is the most appropriate next step in mgt
a) doopler umblical blood flow study
b)placental localisation by double set up
c)placental localisation by ultrasonogram
d)amniocentesis for pulmonary maturity
e)immediate c- section
pls exp
thanks
___________________
But they that wait upon the LORD shall renew their strength; they shall mount up with wings as eagles; they shall run, and not be weary; and they shall walk, and not faint-Isaiah 40:31
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| hero
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c
Recent studies have shown that the transvaginal method is safer and more accurate than the transabdominal method. Transvaginal ultrasonography is also considered more accurate than transabdominal ultrasonography. In one study, 26% of placental localization diagnosed by transabdominal ultrasonography was later changed using transvaginal ultrasonography.
If the location of the placenta is unknown and sonography is not available, a double set-up bimanual examination under anesthesia (EUA) may be performed in the operating room.
actually, i never heard abt double set up, probably USG nowadays available everywhere 
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| lq2006
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Placental localisation by ultrasonogram
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| smalley
Forum Elite
Topics: 54
Posts: 293
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thanks
___________________
But they that wait upon the LORD shall renew their strength; they shall mount up with wings as eagles; they shall run, and not be weary; and they shall walk, and not faint-Isaiah 40:31
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