nicky22
Forum Newbie
Topics: 1
Posts: 10
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a Q from usmleworld :
anybody can help me plz? :?:
a pregnant woman G1P0 , at 28th week gestation ,with chronic HTN,comes to ER because of vaginal bleeding and contraction ,,,,,sono reveals mild abruption ,,mother is stable after resuscitation ...FHR=140 , beat to beat variabilty of 2/min and long term variabilty of 6cycle/min...second sono shows progression of abruption ...
next step in management???
1.immediate C/S
2.augmentation of labor and vaginal delivery
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| mash
Forum Fanatic
Topics: 147
Posts: 1,326
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immediate cs
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| nicky22
Forum Newbie
Topics: 1
Posts: 10
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well , i had the same idea , but usmleworld says ,, vaginal delivary !!!!!!!!!!!!!! :!: :roll:
any comment ?
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| Suresh2000
Forum Newbie
Topics: 3
Posts: 7
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i feel it should be immediate CS. i cannot understand going for a vaginal delvoery in the situation. Does UW give an explanation?
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| indlaxman
Forum Elite
Topics: 68
Posts: 159
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it may be because both fetus and mom are stable? :?: :roll:
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| mdwannabe
Forum Guru
Topics: 37
Posts: 1,133
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Induction and vaginal. Both mom and baby are stable...good variabilities. Vaginal delivery still possible.
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