A 30-Year-Old Woman With an Abnormal Fetal Ultrasound

Craig Johnson, DO; Zachary Redus; Michael Mader, MD; Frederick Eruo, MD, MPH


April 25, 2017

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A 30-year-old gravida 3, para 2 patient who is 23 weeks pregnant presents to the maternal/fetal medicine department. She was referred to the department at the request of her primary obstetrician after an obstetric ultrasound demonstrated complete placenta previa.

The patient had two prior pregnancies that were complicated by complete placenta previa. Both of these pregnancies were delivered by low transverse cesarean section.

The patient has no other surgical history or significant medical history. She has no known allergies and is not currently taking medications. She does not report any vaginal bleeding. She has no abdominal pain, cramps, or contractions.

Quickening was first noted at 19 weeks' gestation, and she continues to feel regular fetal movement. She denies having any vaginal discharge or leakage of fluid. She has no other symptoms.


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