A primigravida presents to casualty at 32 weeks gestation with acute pain abdomen for 2 hours, vaginal bleeding and decreased fetal movements. She should be managed by;

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Immediate cesarean section is indicated due to the acute presentation of pain, vaginal bleeding, and decreased fetal movements at 32 weeks gestation, which suggests a possible placental abruption or other obstetric emergency that could compromise the health of both the mother and fetus. Immediate delivery is often necessary in such cases.

A Primigravida Presents to Casualty at 32 Weeks Gestation with Acute