A case of 35 week pregnancy with Hydramnios and marked respiratory distress is best treated by:
For rapidly increasing hydramnios where the patient has acute respiratory distress and overall discomfo, management is done by decompressing the amniotic sac by amniocentesis, but this conservation is best done till 34 weeks. Beyond 34 weeks, when pulmonary maturity is achieved, then an induction of labour with a 'controlled' ARM would be a prudent step. it is done under controlled conditions as sudden decompression of the fetus leading to placental abruption.
Intravenous furosemide
Saline infusion
Amniocentesis
Aificial rupture of membranes
Amniotic Fluid Dynamics