What is the best management practice if placenta previa is diagnosed at or beyond 32 weeks gestation?

In cases of placenta previa diagnosed at or beyond 32 weeks gestation, transfer of care to a specialist is the best management practice. This condition poses risks, including significant bleeding and potential complications for both the mother and the fetus, especially as the pregnancy progresses. A specialist, typically an obstetrician, possesses the expertise and resources to manage these complications effectively.

At this stage in pregnancy, the risks associated with placenta previa increase as the uterus expands, which can lead to increased vascularization and the potential for placental detachment. Management can involve closely monitoring the patient, planning for delivery, and determining the safest method of delivery, which may require a cesarean section depending on the type and extent of placenta previa. The transfer to a specialist ensures that comprehensive care is provided, and necessary interventions can be undertaken promptly.

Continuous monitoring without transfer could put both the mother and the baby at risk if any complications arise. Consultation with a general practitioner may not provide the specialized care required for this condition, and immediate discharge from care would disregard the potential risks associated with continuing the pregnancy. The focus in such scenarios should always be on the safety and well-being of both the mother and the fetus, making the involvement of a specialist crucial.