Which history places a pregnant woman at particular risk of placenta accreta and severe bleeding after birth?

Correct answer: A. Previous caesarean birth with placenta previa

  • A. Previous caesarean birth with placenta previa
  • B. Previous uncomplicated vaginal birth
  • C. Mild nausea during the first trimester
  • D. A family history of twin pregnancy

Explanation

Placenta previa over a previous caesarean scar strongly increases the risk of abnormal placental attachment, including accreta. Mild early pregnancy symptoms and a family history of twins do not create the same risk.

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About Obstetric Emergencies

Acute threats to the mother or fetus include postpartum haemorrhage, eclampsia, shock, cord prolapse, shoulder dystocia, uterine rupture, amniotic fluid embolism and fetal distress. The subject covers rapid assessment, airway and circulation support, emergency medicines, positioning, preparation for assisted or operative birth, and coordinated referral.

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