Placenta previa and vasa previa Quiz: Ace Your Exams
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A 38-year-old woman, gravida 5, para 4, with a history of 4 prior C-sections, presents to the obstetrics unit for a scheduled repeat C-section at 36 weeks of gestation. Her antenatal course is notable for a 20-week anatomy ultrasound showing an anterior placenta overlying the internal cervical os. She was placed on pelvic rest and has experienced no bleeding or contractions. At 28 weeks, she had a negative oral glucose tolerance test, a normal blood count, received Rh immune globulin and Tdap injection, and underwent a repeat ultrasound that showed similar findings. During her pre-operative assessment today, the patient is asymptomatic and has normal vital signs, a normal exam, and a reassuring fetal heart rate tracing. This patient is at high risk for which of the following complications based on her history?
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