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Placenta previa and bladder varicosities—a clinical conundrum

      A 34-year-old G4T3P0A0L2 was referred to the Division of Maternal Fetal Medicine (MFM) at 28+4 weeks’ gestation for antepartum bleeding with placenta previa and possibly percreta. The patient had 3 previous vaginal deliveries. The third was complicated by postterm induction of labor, shoulder dystocia, postpartum hemorrhage, and uterine rupture into the broad ligament requiring laparotomy and repair.
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