<prompt> A 29-year-o!d G3 P2 female at 32 weeks of gestation presents to the emergency dept. with a small amount of vaginal bloeding. She doesnt have any pain. On examination Her PR: 66min BP: 10070 mm of Hg RR: 10min FHS tracings show fetal distress and shows late declerations. What is the best course of action?Emergent cesarean sectionFetal umbilical blood transfusionExpectant managementInduction of labour with prost aglandins  <response>: As there is painless vaginal delivery,the blood loss is fetal in origin it has led to fetal distress i.e, it is a case of vasa pre Management of vasa pre is emergency cesarean section Ref: Dutta Obs 9e pg 243. 