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What is Pt. at 36 weeks of pregnancy has pain abdomen, uterine tenderness and bleeding per-vaginum. Her vitals the stable and has a regular fetal hea tracing. Which step of following is not required? and explain in detail?
This is the case of abruptio placenta. As the pregnancy is at 36 weeks of gestation, the management would be immediate termination of pregnancy by aificial rupture of membrane and inducing labour. Therefore, giving tocolysis to arrest labour would not be an appropriate choice in this case. If the case was before 34 weeks of gestation, steroids should be given first for pulmonary maturity then terminating the pregnancy would be appropriate.