A 37-year old second gravid, previous LSCS at 37 wks of pregnancy presents with blood pressure of 150/100, urine albumin++. On pelvic examination cervix is found to be soft with 50% effacement, station is - 3, pelvis adequate and cervical os is closed. Most appropriate step at the moment would be
Do cesarean section This is case of preeclampsia at 37 weeks. For management purpose preeclampsia is divided into two categories i.e., mild preeclampsia and severe preeclampsia. Severe and mild preeclampsia are managed differently. But this categorization does not matter in this case because of the gestational age of the patient. - "The gestational age of the patient is 37 weeks and any case of preeclampsia 37 weeks gestational age is delivered immediately irrespective of the severity of the preeclampsia". The main concern here is the mode of delivery -The patient presents with unourable cervix and a history of previous LS.C.S. - The best mode of delivery in such a patient with mild preeclampsia is performing an L.S.C.S.
Antihypeensive regime and then induce labour
Wait and watch for 10 days
Induce labour spontaneously
Do caesarean section