<prompt> Painless bleeding in 3rd trimester is a feature ofPlacenta praeviaAbruptio placentaVesicular moleNone  <response>: Ans a Placenta praevia Ref Williams 22nd editionCauses of APHa Placental 70- Placenta previa 35 - Abruption 35b Extra placental 5- Cervical carcinoma - Carcinoma cervix - Varicose vein - Local traumac Unexplained 25 Stall Worthy sign- Low lying post typeDangerous placenta previa - TypeAt 20wks - 30 placenta low lyingAt term - 2 placenta low lyingSymptoms- Painless bleeding -Warning haemorrhagesOE- Malpresentation - Floating head - FHS present - Stall Worthys signInvestigation-USG - TVS - Colour Doppler -MRIClinical complication - Double setup examinationIndication for CS in PPa Severe degree of PP Type IIB aboveb Lesser degree where amniotomy fails to stop bleedingc Associated factors eg contracted pelvis 