A G2P1L1 lady with previous LSCS comes at 37 weeks, with BP 150/100 mm Hg. CTG is reactive and her P/V findings are os closed, cervix partially effaced, soft, midline, Vx(-2) and pelvis is adequate. Urine protein by dipstick is (1+). What is the management?
Ans. B. Induction of laborPregnancies complicated by pre-eclampsia should be terminated beyond 37 completed weeks if BP is controlled. This is preferably done by induction of labor, h/o previous cesarean section is not an absolute indication for repeat cesarean in such circumstances.
Start antihypertensives and follow up after 1 week
Induction of labor
Cesarean section
Do not start antihypertensives but follow up after 1 week
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