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A 39-year-old G4P3 woman 38 weeks pregnant presents to the emergency department with bright red vaginal bleeding that started one hour ago following sexual intercourse with her partner. She denies any abdominal pain. Her medical history is notable for three prior cesarean sections. She has not seen an obstetrician because she felt similar to her previous pregnancies. Her temperature is 98.6°F (37°C), blood pressure is 100/70 mmHg, pulse is 95/min, and respirations are 20/min. The fetal pulse is 130/min; its tracing is shown in Figure A. The patient's physical exam is unremarkable. Inspection of the vagina reveals no active bleeding. The transvaginal ultrasound machine is being prepared. What is the most likely diagnosis?
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A 28-year-old G2P1 woman at 29 weeks gestation presents to the obstetrician after noticing red spots on her undergarments over the past week. Her vaginal bleeding has not been painful; however, she is concerned that it has persisted. Her previous child was born by cesarean section and she is currently taking folate and a multivitamin. She endorses feeling fetal movements. Her temperature is 98.9°F (37.2°C), blood pressure is 120/84 mmHg, pulse is 88/min, respirations are 17/min, and oxygen saturation is 99% on room air. Physical exam is notable for a gravid uterus and non-tender abdomen. Speculum exam reveals a closed cervical os and a small amount of blood. Which of the following is the most likely diagnosis?