A woman at 32 weeks of pregnancy, presents with Labour pains. On examination, her cervix is dilated and Uterine contractions are felt. The management is:: (A) Isoxsuprine hydrochloride, (B) Dilatation and Evacuation, (C) Termination of pregnancy, (D) Wait and watch
Answer is A. Now, in this case note - patient is presenting at 32 weeks (i.e., third trimester) with cervix dilated and uterine contractions are felt, which indicate it is a case of early preterm labour and should be managed by giving tocolytics i.e. isoxsuprine hydrochloride.
The tocolytic will delay labor by 48 hours, in the mean while we will give corticosteroids, so that the lung of the fetus matures