What should be avoided in the management plan for a patient with placenta previa?

In the management of a patient with placenta previa, it is critical to avoid placing objects in the vagina. This practice can pose significant risks to both the mother and the fetus. The presence of the placenta at or near the cervical opening already increases the likelihood of bleeding, especially as the pregnancy progresses. Introducing anything into the vagina can further irritate the cervix or disrupt the placental attachment, which can lead to severe hemorrhage, a medical emergency that could compromise the safety of both the mother and the baby.

In contrast, the other components of the management plan are appropriate and essential. Bedrest and ultrasound monitoring are strategies used to minimize the risk of bleeding and to better assess the situation as the pregnancy advances. Monitoring contractions is important for assessing uterine activity, and maintaining routine prenatal visits helps in the overall management and monitoring of both the mother and the developing fetus. These aspects aim to ensure health risks are managed and any potential complications are identified early.