A woman in her third trimester of pregnancy develops minor vaginal bleeding.

Question Number 0492

Question:
A woman in her third trimester of pregnancy develops minor vaginal bleeding. She has a history of a two prior cesarean deliveries. Sonography demonstrates thinning of the uterine wall anteriorly with loss of the normal retroplacental myometrial zone with the placenta appearing to be attached directly to the myometrium. The correct diagnosis is

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


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