Placenta previa classically presents with:

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Multiple Choice

Placenta previa classically presents with:

Explanation:
Placenta previa presents with painless vaginal bleeding in the second or third trimester because the placenta implants low in the uterus, covering or near the cervical os. When the cervix dilates or minor placental tearing occurs, bleeding can occur without triggering uterine contractions or pain. This contrasts with placental abruption, which causes painful bleeding with contractions and uterine tenderness. Fetal distress with tachycardia isn’t the characteristic pattern of previa, and rapid contractions and cramping point more toward labor or uterine activity rather than a previa bleed.

Placenta previa presents with painless vaginal bleeding in the second or third trimester because the placenta implants low in the uterus, covering or near the cervical os. When the cervix dilates or minor placental tearing occurs, bleeding can occur without triggering uterine contractions or pain. This contrasts with placental abruption, which causes painful bleeding with contractions and uterine tenderness. Fetal distress with tachycardia isn’t the characteristic pattern of previa, and rapid contractions and cramping point more toward labor or uterine activity rather than a previa bleed.

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