A 34wk GA lady presented with vaginal bleeding of an amount more of that of her normal cycle. O/E uterine contracts every 4 min, bulged membrane, the cervix is 3 cm dilated, fetus is in a high transverse lie and the placenta is on the posterior fundus. US showed translucency behind the placenta and the CTG (Cardiotocography) showed FHR of 170, the best line of management is:
A)C/S immediately.
B)give oxytocin.
C)do rupture of the membrane.
D)amniocentisis
E)none

Question

Quizplus · Accepted Answer

The best line of management for a patient presenting with these symptoms and findings (vaginal bleeding, frequent uterine contractions, a high transverse fetal lie, and a posterior fundus placenta with a high fetal heart rate on CTG) is an immediate cesarean section (C/S). The presence of vaginal bleeding, abnormal fetal lie, and the high fetal heart rate suggests fetal distress and potential placental issues, making immediate delivery via C/S the safest option for both the mother and the fetus.

A 34wk GA Lady Presented with Vaginal Bleeding of an Amount