§A G3P2 presents with PV bleeding at 36/40
§Passing fresh red blood for last hour, needing 3 pad changes
§No associated abdominal pain
What are the possible causes?
From her antenatal notes;
Late booker, no antenatal care until 22 weeks
Rhesus negative
USS showed posterior placenta, clear of os
On examination;
Obs stable
Abdomen soft and non-tender
Small amount of fresh red blood in posterior fornix
Closed os, no ectropion
What is an appropriate management plan?