Diagnosis: placenta previa
Risk factors: hypertension is NOT a risk factor
Placenta previa is a condition where the placenta has attached over the cervical os and can be complete, partial, marginal, or low-lying depending on the position.
The hallmark of placenta previa is painless, 2nd trimester bleeding. Ultrasound should always be performed prior to any speculum or digital exam to limit the risk of bleeding.
Risk factors for placenta previa include :
●Previous placenta previa
●Previous cesarean delivery (risk increases with an increasing number of cesarean deliveries)
●Advanced maternal age
●Previous intrauterine surgical procedure
●Maternal cocaine use