A woman with mitral stenosis but no pulmonary hypertension is in labor at 39 weeks of gestation. She has dyspnea on exertion. Her pulse rate is 80 bpm. There are no basal creps in lungs.The cervix is 4 cm dilated. She is having 1-2 uterine contractions in 10 minutes. Which of the following steps is best avoided in her?
Ans. is d, i.e. Use of ergometrine in third stage of laborUse of Ergometrine/methylergometrine is contraindicated in heart disease patients. Rest all options are correct.
Active management of third stage of labor
Augmentation of labor with oxytocin
Use of epidural analgesia for pain relief
Use of ergometrine in third stage of labor
Medical & Surgical Illness Complication Pregnancy