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Old 01-01-2013
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Default preterm labour management

I did uwsa recently and there was this case of a woman in preterm labour who had a previous preterm delivery at 36 wks GA.The question goes like"What is the most beneficial next step in management?" Answer options being1)cervical cerclage2)pelvic rest3)progesterone inj until delivery
4)iv hydration 5)betamethasone(correct answer)
Can somebody let me know why the answer can't be hydration coz kap LN mentions hydration as next step.
What exactly is the management algorithm for pretem labour?
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Old 01-01-2013
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i think they waited for lungs to mature. and the vignette doesnt say that shez hypotensive in any form. so i think betamethasone is the best bet.
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Originally Posted by priyanka.N View Post
I did uwsa recently and there was this case of a woman in preterm labour who had a previous preterm delivery at 36 wks GA.The question goes like"What is the most beneficial next step in management?" Answer options being1)cervical cerclage2)pelvic rest3)progesterone inj until delivery
4)iv hydration 5)betamethasone(correct answer)
Can somebody let me know why the answer can't be hydration coz kap LN mentions hydration as next step.
What exactly is the management algorithm for pretem labour?
Can you give us more details for this case? What is the gestational age? Because the correct answer is betamethasone, could it be that she is now presenting with preterm labor? If yes, then surely the first thing you need to do is to administer corticosteroids if the gestational age is between 24-34 weeks. Afterwards, you can consider tocolysis if uterine contractions are still there.

Concerning Hydration: It is part of conservative management and not related to whether a woman is hemodynamically unstable. According to a doctor of mine, dehydration is associated with preterm labor. Therefore, one of the lines of management is hydration to prevent preterm labor.
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Originally Posted by fromearthwithlov View Post
Can you give us more details for this case? What is the gestational age? Because the correct answer is betamethasone, could it be that she is now presenting with preterm labor? If yes, then surely the first thing you need to do is to administer corticosteroids if the gestational age is between 24-34 weeks. Afterwards, you can consider tocolysis if uterine contractions are still there.

Concerning Hydration: It is part of conservative management and not related to whether a woman is hemodynamically unstable. According to a doctor of mine, dehydration is associated with preterm labor. Therefore, one of the lines of management is hydration to prevent preterm labor.


She is at 30 wks GA and is not hypotensive.
So the 1st step in preterm labour management is corticosteroids and then tocolysis (only if contractions present).Thanks.
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She is at 30 wks GA and is not hypotensive.
So the 1st step in preterm labour management is corticosteroids and then tocolysis (only if contractions present).Thanks.
Thank you
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