This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Amniotic Fluid Dynamics, Subject name: Gynaecology & Obstetrics
A case of 35 week pregnancy with Hydramnios and marked respiratory distress is best treated by: 
Select and explain. 
A. Intravenous furosemide, B. Saline infusion, C. Amniocentesis, D. Aificial rupture of membranes
D: Aificial rupture of membranes
Answer: D: Aificial rupture of membranes 
Explanation: For rapidly increasing hydramnios where the patient has acute respiratory distress and overall discomfo, management is done by decompressing the amniotic sac by amniocentesis, but this conservation is best done till 34 weeks. Beyond 34 weeks, when pulmonary maturity is achieved, then an induction of labour with a 'controlled' ARM would be a prudent step. it is done under controlled conditions as sudden decompression of the fetus leading to placental abruption.