{"ops":[{"insert":"A 30 year old woman presents with spontaneous painless vaginal bleeding at 32 weeks of her third pregnancy.\n\nShe experienced vaginal spotting about a month ago, after she had engaged in sexual intercourse.\n \nHer medical history is unremarkable, while her two previous pregnancies were uncomplicated, ending with vaginal deliveries at term.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-G-017_en.png"}},{"insert":"\n"}]}
2
Investigate
Transvaginal Ultrasound
{"ops":[{"insert":"The ultrasound scan shows an anterior placenta in the lower uterine segment, with its inferior edge partially overlapping the internal cervical os.\n"}]}
Cardiotocography
{"ops":[{"insert":"Cardiotocography shows a baseline fetal heart rate of 150 bpm with normal variability and periodic accelerations. There are no decelerations; nor is there evidence of uterine contractions.\n"}]}