A 34 y.o. woman in her 29-th week of pregnancy, that is her 4-th labor to come, was admitted to the obstetric department with complaints of sudden and painful bloody discharges from vagina that appeared 2 hours ago. The discharges are profuse and contain grumes. Cardiac funnction of the fetus is rhytmic, 150 strokes in the minute, uterus tone is normal. The most probable provisional diagnosis will be:

Answer options

1. Detachment of normally located placenta
2. Vasa previa
3. Placental presentation
4. Disseminated intravascular coagulation syndrome
5. Bloody discharges

Explanation

The placental presentation also called Placental Previa.Placenta previa is a problem of pregnancy in which the placenta grows in the lowest part of the womb (uterus) and covers all or part of the opening to the cervix.Some symptoms include: 1) painless vaginal bleeding2) normal tone of the uterus 3) normal fetal heart rate.Note; these symptoms in the question are very different from placental abruption in which there is the painful vaginal bleeding, tensed and painful uterus, and absent fetal heart sounds.