What symptom is associated with a painless type of bleeding in cases of placenta previa?

• A. Dark brown discharge
• B. Sudden onset of bright-red bleeding
• C. Cramping abdominal pain
• D. Abdominal swelling

Answer: (B)

In the context of placenta previa, the symptom commonly associated with a painless type of bleeding is the sudden onset of bright-red bleeding. This condition occurs when the placenta partially or completely covers the cervix, often leading to bleeding as the pregnancy progresses and the cervix begins to thin or open. The bleeding is typically bright red, indicating fresh blood, and can occur without accompanying pain, which is a hallmark of placenta previa. Patients may experience this bleeding at any point during the third trimester, and while it can be alarming, it is important to recognize that it may be painless.

The other options reflect symptoms or presentations that are not characteristic of painless bleeding in this context. Dark brown discharge typically indicates older blood and is not commonly associated with the fresh, bright-red bleeding seen in cases of placenta previa. Cramping abdominal pain is often related to other complications or conditions, such as placental abruption or labor, rather than the bleeding itself in placenta previa. Similarly, abdominal swelling isn't indicative of the bleeding pattern seen with placenta previa and does not specifically relate to the symptomatology of this condition.