Treatment

In asymptomatic or partial Placenta previa ,Ensure Bed rest at home and make  follow up every 2 weeks.

In complete placenta previa:

Admit the patient for close monitoring and observation.

Consider Blood transfusion if indicated

Avoid digital vaginal examination

In case the GA is less than 34 weeks and no PV bleeding or contractions, do expectant management until GA of 37–38 weeks  at which elective  Cesarean section will be done.

Emergence caesarean section should be done at any time incase of onset of labour or severe Pv  bleeding.

In case of Partial or marginal placenta previa, vaginal delivery is preferable (with mechanical induction).

Pharmacological management

Dexamethasone (PO) 6mg 12hourly for 48 hours if pregnancy is less than 34weeks to enable fetal lung maturation.

Nifedipine (PO) 20mg 8hourly until labour symptoms subside.