A 29-year-old G3P2 woman at 31 weeks" gestation presents to the emergency department with a small amount of vaginal bleeding. She had been diagnosed with velamentous cord insertion by ultrasound earlier in the pregnancy. She denies abdominal pain, crampin
5
votes
A. Immediate treatment with betamethasone, then cesarean section in 24 hours
B. Emergent cesarean section
C. Induction of vaginal labor with prostaglandins and oxytocin
D. Fetal umbilical blood transfusion
E. Expectant management