A 29-year-o!d G3 P2 female at 32 weeks of gestation presents to the emergency dept. with a small amount of vaginal bloeding. She doesn't have any pain. * On examination * Her PR: 66/min * B/P: 100/70 mm of Hg * RR: 10/min FHS tracings show fetal distress and shows late declerations. What is the best course of action?
As there is painless vaginal delivery,the blood loss is fetal in origin it has led to fetal distress i.e, it is a case of vasa pre Management of vasa pre is emergency cesarean section Ref: Dutta Obs 9e pg 243.
Emergent cesarean section
Fetal umbilical blood transfusion
Expectant management
Induction of labour with prost aglandins
General obstetrics