A 19 year old presented to Casualty at 34 weeks gestation with severe vaginal bleeding and lower abdominal pain.

Question Number 0495

Question:
A 19 year old presented to Casualty at 34 weeks gestation with severe vaginal bleeding and lower abdominal pain. Her obstetric history was significant for a previous pregnancy loss at 20 weeks. The uterus was nontender to palpation. The fetal heart rate was reassuring with a baseline of 135 bpm A cesarean section was performed and it was found that the umbilical vessels had separated prior to reaching the placental surface and were imapcted in front of the fetal head. The correct description of this appearance is

a) Vasa previa
b) subplacental abruptio placenta
c) subchorionic abruptio placenta
d) placenta accreta
e) placenta previa


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