This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Medical Illness Complicating Pregnancy, Subject name: Gynaecology & Obstetrics
After delivery of Hea disease patient the following should be given 
Select and explain. 
A. Ace inhibitors, B. Methergine, C. Furosemide, D. IVF fluids 1000 ml over next 4 hours
C: Furosemide
Answer: C: Furosemide 
Explanation: Inj. furosemide is given to decrease preload in hea disease patient post delivery. Labour Management of Cardiac Patient Limit I.V. fluids Position - semi recumbent Pain relief - opioids and epidural analgesia avoid straining in 2nd stage of labour- Cut sho it by forceps/vaccum Inj. furosemide and I.V./ I.M. Oxytocin given to decrease preload methyl ergometrine is C/I Observation in high risk ward for 24 hrs.