Before 32 weeks of gestation, moderate-to-severe bleeding when there is no maternal or fetal compromise may be managed aggressively with blood transfusions, rather than resorting to delivery. When the patient has had no further bleeding for 48 hours, she may be considered for discharge as long as there are appropriate home conditions to allow outpatient management. Women who are stable and asymptomatic, and who are reliable and have quick access to hospital, may be considered for outpatient management.