CONCLUSION
There are only a few differences in regards to intra-operative management and post-operative complications, none of which pose serious maternal morbidity. Therefore our findings further strengthen the RCOG recommendations of an individualised approach towards managing placenta praevia with any bleeding episode. We advise taking into account patients’ wishes, their ability to access emergency services and the availability of transportation. Hence, our findings suggest that it may be reasonable to continue safely managing women with placenta praevia and previous bleeding episodes in the outpatient setting.
Further large-scale, multicentre prospective studies using a single validated method of data collection is encouraged to provide a more accurate representation of maternal outcomes directly linked to placenta praevia. In order to optimise maternal outcomes in placenta praevia further research ought to focus on the aetiology of APH and formulate strategies for the prevention and treatment of bleeding.