This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Medical & Surgical Illness Complication Pregnancy, Subject name: Gynaecology & Obstetrics
[{'content': 'A woman with mitral stenosis but no pulmonary hypertension is in labor at 39 weeks of gestation. She has dyspnea on exertion. Her pulse rate is 80 bpm. There are no basal creps in lungs.The cervix is 4 cm dilated. She is having 1-2 uterine contractions in 10 minutes. Which of the following steps is best avoided in her? \nSelect and explain. \nA. Active management of third stage of labor, B. Augmentation of labor with oxytocin, C. Use of epidural analgesia for pain relief, D. Use of ergometrine in third stage of labor', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Ans. is d, i.e. Use of ergometrine in third stage of laborUse of Ergometrine/methylergometrine is contraindicated in heart disease patients. Rest all options are correct.', 'role': 'assistant'}]