Mild in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#12104

SMLE Question #12104

Obstetrics & Gynecology General Gynecology

Objective: OBJ-ETH-STERIL

Last updated: February 2026
A 40-year-old G3P2 woman at 32 weeks gestation with two prior cesarean deliveries presents with mild, painless vaginal bleeding that started a few hours ago and has now stopped. She has no abdominal pain or uterine contractions. Speculum examination shows old blood with a closed cervical os; digital vaginal examination is avoided. Ultrasound shows a live singleton fetus and placenta partially covering the internal cervical os, with no retroplacental hematoma. What is the most appropriate management at this time?

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