Question:medium
In the expectant management of placenta praevia, all of the following are done except?
In the expectant management of placenta praevia, all of the following are done except?
Show Hint
Cerclage treats an incompetent cervix, not a misplaced placenta.
Updated On: Jun 24, 2026
- Cervical cerclage (encirclage)
- Anti-D administration
- Corticosteroid administration
- Blood transfusion
Show Solution
The Correct Option is A
Solution and Explanation
Placenta praevia means the placenta is implanted over or near the internal cervical os, and the danger is painless recurrent antepartum haemorrhage. When the fetus is still immature and the mother is haemodynamically stable, clinicians choose to wait (the expectant approach) to buy time for the baby. The toolkit used during this waiting period is aimed at two goals: protecting the mother and maturing the fetus. To protect the mother, blood is cross-matched and transfused if she becomes anaemic, and Rh-negative mothers receive anti-D to block sensitisation by fetal red cells crossing during the bleed. To mature the fetus, a course of corticosteroids accelerates surfactant production so the lungs are ready if early delivery becomes unavoidable. Cervical cerclage, by contrast, is a stitch designed for cervical incompetence to keep a weak cervix closed. The pathology in praevia is a misplaced placenta bleeding from the lower uterine segment, so closing the cervix neither addresses the source of bleeding nor forms any part of the recognised protocol. Hence cervical cerclage is the odd one out.
\[\boxed{\text{Cervical cerclage (encirclage)}}\]
\[\boxed{\text{Cervical cerclage (encirclage)}}\]
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