Abstract
A 30-year-old gravida 4, para 1021 woman at 24+5 weeks of gestation presented to the labor and delivery unit because of the onset of vaginal bleeding and abdominal cramps 5 hours before admission. Her antenatal care was complicated by a threatened abortion and subchorionic hemorrhage diagnosed with ultrasound at 5 weeks of gestation. Her previous child was delivered vaginally at term with appropriate birthweight for gestational age. The patient’s ultrasound screening at 23 weeks of gestation revealed a normal female fetus, a sonographic short cervix (cervical length, 24.7 mm), and the presence of amniotic fluid sludge.
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