Early delivery was indicated by repeated heavy episodes of vaginal bleeding, preterm labor or emergency referral from other hospitals. However, no deliveries occurred before the 28th week of gestation. No attempt was made to confirm the ultrasonographic findings, even in asymptomatic cases, by carrying out a vaginal examination with a double set-up. Clinical corroboration of ultrasound findings at cesarean section justified this approach. Although this indicates the high quality of the observer, the shortcomings of transabdominal ultrasound should always be kept in mind.
Cesarean section is the method of choice for delivery in cases of a major degree of placenta previa.
The mean gestational age of infants delivered in this study was about 36 weeks and the mean fetal weight was 2710 grams. This is similar to results reported from studies using aggressive management. A higher incidence of congenital abnormalities has been reported in placenta previa cases but there is no specific system association. Using expectant management with some modifications, various studies have reported a fetal mortality rate ranging between 40 and 120 per 1000. References Meshari AA, Hassonah MH, Serej ME, et al.