Initial assessment of late-pregnancy bleeding is designed to identify potential placenta previa and abruptio placentae.
No manual or speculum examination should be performed until placenta previa has been ruled out.
Placenta previa is an absolute contraindication to vaginal delivery.
Placenta previa and abruptio placentae are obstetrical emergencies and require rapid assessment and management.
Initial management of placenta previa and abruptio placentae is directed toward ensuring hemodynamic stability and safe delivery.