<prompt> Patient with 37 week AOG, centrally located placenta previa presented with bleeding per vaginum. Management:Caesarean sectionAbortionVaccum deliveryForeceps delivery  <response>: Ans. a Caesarean sectionRef : D.C. Dutta 8th ed. 290-92; Williams 23rd ed. Chapter 35. Placenta previa-placenta located at LUS. One of the most commoncause of APH. In case of centrally located placenta previa -mode of delivery is always CS.Management of placenta previa depends on its type- 4 typesIndication for terminationby vaginalCSIndication for conservative management POG-37 weeks or beyond Pt continuosly bleeding Fetal distress Hemodynamically unstable mother Pt is active labour IUD Congenital malformation of baby which are incompatible with lifeDone in patient who do not obey previous 7 ruleTermination by vaginal delivery or CS depending on type of PPMa caffes protocol for conservative mxBed restMonitor vitals-mother and babyBlood transfusion if needed Type 1low lying-vaginal deliveryType 2 marginal vaginal if placenta anterior, CS-if posteriorType 3 incompletepartial- always CSType 4 completecentral- always CSIf POG34 weeks-give betamethsone 12 mg IM 2 dose, 24 hrs apartm, for lung maturityMark CS as management option for placenta previa if any of following points give in Q- Mother unstable Fetal distress Major degree of PP-type3 incompletepartial, type4 completecentral 