What delivery method is typically planned if placenta previa is present?

What delivery method is typically planned if placenta previa is present?

• A. Vaginal delivery with careful monitoring
• B. Trial of labor after cesarean
• C. Cesarean delivery
• D. Induction of labor

Answer: (C)

Placenta previa means the placenta is implanted low in the uterus and covers or lies near the cervical os, so the cervix opening during labor can cause massive bleeding as the placenta tears away. Because vaginal birth greatly increases the risk of uncontrollable hemorrhage for the mother and distress for the fetus, vaginal delivery is not planned. To prevent this danger, a cesarean delivery is scheduled before labor begins to ensure a controlled delivery and minimize bleeding. Inducing labor or attempting a vaginal birth would heighten the risk further, and a trial of labor after cesarean isn’t the standard approach here unless other factors change.

Placenta previa means the placenta is implanted low in the uterus and covers or lies near the cervical os, so the cervix opening during labor can cause massive bleeding as the placenta tears away. Because vaginal birth greatly increases the risk of uncontrollable hemorrhage for the mother and distress for the fetus, vaginal delivery is not planned. To prevent this danger, a cesarean delivery is scheduled before labor begins to ensure a controlled delivery and minimize bleeding. Inducing labor or attempting a vaginal birth would heighten the risk further, and a trial of labor after cesarean isn’t the standard approach here unless other factors change.