A G2P1 female at 35 weeks experiences uterine contractions. No fetal distress is seen and membranes are not ruptured. Which of the following is to be done?
12 mg beta methasone injection is is indicated in all pregnancies at risk of preterm labour between 28 and 35 weeks to attain LUNG MATURITY. Since there is no indication of fetal distress it is not given. Tocolytics are used to inhibit contractions and keep the uterus quiescent in case of preterm labour.But it is not indicated after 34 weeks. Cervical cerclage is useful in some women with HISTORY OF preterm labour. Thus vaginal swab culture is can be used in this condition as presence of bacterial vaginosis has been found to be associated with preterm labour and most cases are asymptomatic. (TB of OBG sheila 2 and edition pg 193,194,573)
12 mg betamethasone injection
Vaginal swab culture
Tocolytic therapy
Cervical cerclage
Abnormal labor