Page 2 of 2: a pregnant women 32 weeks gestation presents in....

addy81 · Credits: 3805 My Scrapbook

hey friendly, u were right abt chorioamnionitis.
checked again. thanks

drnikhil1 · Credits: 3863 My Scrapbook

freindy..read the sentence in opg...it clearly states that" steroids"maternal hypertension n diabettis r not the contraindications to use prenatal steroids

do u have doubt after this also....

friendy · Credits: 736 My Scrapbook

Hmm!!

well.thanks to all

agreed .it must be chorioamnionitis

troubledsoul · Credits: 1132 My Scrapbook

we can treat the mother even if she has diabetes..But pediatrics people will pull their hair out if the baby has unmatured lungs .I too will go with option 4 ...

cheers

dr_nidhi · Credits: 12986 My Scrapbook My Reading List 5 Books

THANKS EVERYONE

I WUD ALSO GO FR CHORIOAMNIONITIS

tayal · Credits: 3228 My Scrapbook

prom > 24 hrs is an indication for emergency lscs and action of duration required for steroids to act is min 24 hrs-7 days. hence steroids have no role + e/o infection contraindicates for steroids.
It is postulated that in pih lungs do mature early because of release of cortisol hence no role of steroids.
Diabetes and choriomnitis is also contraindicated.
ans is a,b,c,d.

DrChitra · Credits: 421 My Scrapbook

i think the ans is d - chorio-amnionitis.
acc. to RCOG guidelines, the only absolute contra-indication is systemic infection in mother. e.g. tuberculosis and diagnosed chorio-amnionitis.

it also says that there is a strong recommendation in diabetes. reminder- pul. maturity is delayed though fetal weight may be good enough.

PIH - steroids can be given.

the option says prolonged PROM but does not mention a diagnosed infection.

najju · Credits: 791 My Scrapbook

answer is d as in other situations steroids r not c/i.n more over steroids tend to increase the severity of infection hence i think answer is d

monu23 · Credits: 324 My Scrapbook

diabetes

sentinel · Credits: 239 My Scrapbook

i will go for pregnancy induced hypertension, ans d. my doubt is, as woman is already in labour where is the chance of infection.

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