Painless bleeding at thirty-three weeks
34 yG2P1GA 33+1Acute
She woke in a wet bed, bright red, no pain. Her last baby was born by caesarean.
03:20GA 33+1Step 1
Arrival
About 200 mL of bright red blood at 02:50, now slowing. No pain, no contractions. The uterus is soft and non-tender. Fetal heart rate 145 with moderate variability. Blood pressure 118/72, pulse 92.
HR 92 · BP 118/72 · RR 16 · SpO2 99%FHR 145 · Category IThe resident reaches for gloves to examine the cervix. What do you say?