A primigravida presents to casualty at 32 weeks gestation with acute pain abdomen for 2 hours, vaginal bleeding and decreased fetal movements. She should be managed by:
The patient here is of Abruption( Accidental hemorrhage) in pregnancy. This is never managed conservatively and the best option is to give Steroids for pulmonary maturity and alongside sta the process of induction of labor. Decreased fetal movements is not an indication for cesarean section but to do more intensive ante paum fetal monitoring. An LSCS is only done if abruption has associated complications like fetal distress etc.
Immediate cesarean section
Immediate induction of labor
Tocolytic therapy
Magnesium sulphate therapy
Labour - normal, abnormal, malposition, malpresentation and their management