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Microbiology All India exam 8b510813

True statement concerning placenta pre is

A
Its incidence decreases with maternal age
B
The initial hemorrhage is usually painless and rarely fatal
C
Management no longer includes a double setup
D
Vaginal examination should be done immediately on suspicion of placenta pre
High-Yield Explanation
The initial haemorrhage in placenta pre is usually painless and rarely fatal.If the fetus is premature and if haemorrhage is not severe, vaginal examination of a woman suspected of having placenta pre frequently can be delayed until 37 weeks gestation; this delay in the potentially hazardous examination reduces the risk of prematurity, which is often associated with placenta pre.Vaginal examination, when needed to determine whether a low-lying placenta is covering the internal os of the cervix, should be performed in an operating room fully prepared for an emergency cesarean section (i.e., a double setup).Increasing maternal age and multiparity are associated with a higher incidence of placenta pre.

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