This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Antepaum Haemorrhage, Subject name: Gynaecology & Obstetrics
[{'content': 'A lady with 32wks and 3 days of pregnancy presents with vaginal bleeding. A recent USG done on her mentioned a placenta pre. in which of the following situation it is possible to do a conservative management ? \nSelect and explain. \nA. Fetal hea rate of 86/min, B. Intra Uterine Fetal Death, C. Transverse lie, D. Significant bleeding making mother hemodynamically unstable', 'role': 'user'}, {'content': 'Answer: C \nExplanation: APH in placenta pre First episode of bleeding in placenta Pre usually subsides with conservative management in 90% of cases. Thus APH prior to 34 weeks may be managed conservatively. This is the basis of the Mcaffee Jhonsons conservative management in APH due to placenta pre Conservative management is contraIndicated when: Pregnancy >37 weeks Maternal decompensation secondary to significant bleeding Fetal distress Intra Uterine fetal death Malformed Fetus Malpresentation or malposition is not a contraindication to conservative management!', 'role': 'assistant'}]