A primigravida at 36 weeks gestation and her USG reveals reveals a complete placenta pre. Uterus is relaxed but she stas to bleed heavily. All of the following are appropriate next steps, EXCEPT?
Bleeding from a placenta pre, at 36weeks needs no conservation as the lungs are mature after 34 weeks and the patient is almost at term. Terbutaline or any other tocolysis is contraindicated in Placenta pre. Also, It is associated with maternal tachycardia and vasodilation. The actively bleeding patient should be resuscitated with intravenous fluids while blood is being crossmatched for possible transfusion. A Foley catheter should be placed because urinary output is a reflection of the patient's volume status.
Administer intramuscular terbutaline
Arrange 4 units of packed red blood cells
Administer an intravenous fluid
Monitor the urine out output strictly from now
Obstetrics