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gazra · Credits: 1057 My Scrapbook

35 pregnant 36 weeks got uterine contractions and vaginal bleeding of small amount u admit her and investigate & everything is ok with placenta at uterine fundus after that she got another contractions which continous she cannot tolerate the pain FHR is variable between 120-160 bpm

diagnosis:

what next step in ttt?

soko · Credits: 10588 My Scrapbook

35 pregnant 36 weeks got uterine contractions and vaginal bleeding of small amount u admit her and investigate & everything is ok with placenta at uterine fundus after that she got another contractions which continous she cannot tolerate the pain FHR is variable between 120-160 bpm

diagnosis:
Labour pain
what next step in ttt?
mepheridine or morphine

ieva · Credits: 3549 My Scrapbook

Diagnosis:
Preterm labour with abruptio placentae (can not be seen on US)

What to do:
stabilize mother:hydration, correct coagulation problems (if exist) .
Monitor mother: urine output, blood loss, vitals, blood gases
>>>and deliver baby. As FHR is normal>baby is not in distress> vaginal delivery (if mother is fine)

ieva · Credits: 3549 My Scrapbook

In emedicine also reading:
to perform amniotomy to decrease intrauterine pressure

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