A 30-year-old gravida 3 para 2002 woman at 11 weeks of gestation presents for an initial prenatal visit. She denies any medical problems; however, she has a complicated obstetric history. Her first child was born at term by spontaneous vaginal delivery following a 20% placental abruption. Her next child was born at 36 weeks by a scheduled low-transverse cesarean delivery for partial previa. She has not experienced any complications yet in this pregnancy.
Her ultrasonographic findings today show a viable singleton intrauterine pregnancy.
How do you counsel this patient in regard to her history of placental abnormalities?
- Repeat cesarean delivery is recommended in this pregnancy due to her history of placental abnormalities.
- She is at increased risk for recurrent placenta previa but not at risk for velamentous cord insertion.
- Because the percentage of placental abruption in the first pregnancy was < 50%, she is at no increased risk of another abruption.
- If this pregnancy is complicated by recurrent placenta previa, then she is at significantly increased risk for placenta accreta.
This question appears in Med-Challenger OBGYN Exam Review with CME
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