A gravida 3 with a history of 2 previous 2nd trimester aboions presents at 22 weeks of gestation with funneling of the cervix. Most appropriate management would be:
Previous history of mid trimester aboions and funneling of cervix are both suggestive of incompetent cervix McDonald's stitch is used for cervical encerclage, generally applied after 12 completed pregnancy weeks and removed at or beyond 37 weeks Dinoprostone is mainly used for induction of labour. Mifepristone which is an anti progestin is use for termination of pregnancy. Fothergill's stitch used for repair of cervical enlargement and is pa of management of UTERINE prolapse in younger parous women who want to save their uterus
Administer Dinoprostone and bed rest
Administer mifepristone and bed rest
Apply Fothergill's stitch
Apply McDonald's stitch
Aboions, Spontaneous & Induced Emergency Contraception (Hey,whats the hurry !)