Transvaginal imaging technique if used properly does not lead to increase in bleeding (3). This is for 2 main reasons: the vaginal probe is introduced at an angle that places it against the anterior fornix and anterior lip of the cervix, unlike a digital examination, where articulation of the hand allows introduction of the examining finger through the cervix; and the optimal distance for visualization of the cervix is 2-3 cm away from the cervix, so the probe is generally not advanced sufficiently to make contact with the placenta. Nonetheless, the examination should be performed by personnel experienced in transvaginal sonography, and the transvaginal probe should always be inserted carefully, with the examiner looking at the monitor to avoid putting the probe in the cervix. Translabial sonography has been suggested as an alternative to transvaginal sonography and has been shown superior to transabdominal sonography for placental location. However, because transvaginal sonography is accurate, safe and well tolerated, it should be the imaging modality of choice.