<prompt> True statement concerning placenta previa isIts incidence decreases with maternal ageThe initial hemorrhage is usually painless and rarely fatalManagement no longer includes a double setupVaginal examination should be done immediately on suspicion of placenta previa  <response>: The initial hemorrhage in placenta previa is usually painless and rarely fatal.If the fetus is premature and if hemorrhaging is not severe, vaginal examination of a woman suspected of having placenta previa frequently can be delayed until 37 weeks gestation; this delay in the potentially hazardous examination reduces the risk of prematurity, which is often associated with placenta previa.Vaginal examination, when needed to determine whether a lowlying placenta is covering the internal os of the cervix, should be performed in an operating room fully prepared for an emergency cesarean section i.e., a double setup.Increasing maternal age and multiparity are associated with a higher incidence of placenta previa. 