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
In a pregnant woman with heart disease, all of the following are to be done except: 
Select and explain. 
A. IV methergin after delivery, B. Prophylactic antibiotic, C. IV frusemide postpartum, D. Cut short 2nd stage of labor
A: IV methergin after delivery
Answer: A: IV methergin after delivery 
Explanation: Ans. is a, i.e. IV methergine after deliveryRef. Dutta Obs. 7/e, p 278As discussed in the chapter overview all the options given in the question are correct except for 'c' i.e. methergine after delivery. Methylergometine is contraindicated in patient of heart desease.