A 29-year-o!d G3 P2 female at 32 weeks of gestation presents to the emergency dept. with a small amount of vaginal bloeding. She doesn't have any pain. * On examination * Her PR: 66/min * B/P: 100/70 mm of Hg * RR: 10/min FHS tracings show fetal distress and shows late declerations. What is the best course of action?
High-Yield Explanation
As there is painless vaginal delivery,the blood loss is fetal in origin it has led to fetal distress i.e, it is a case of vasa pre Management of vasa pre is emergency cesarean section Ref: Dutta Obs 9e pg 243.