Sudden

A 33 year old lady presents in active labor, at the 38th week of her third pregnancy. A recent ultrasound scan showed a fundal placenta and a cephalic presentation.

Two years ago, she underwent a lower segment cesarean section during her second pregnancy, due to a breech presentation.

Suddenly, she begins to complain of severe abdominal pain, which persists between contractions.

Select Relevant Investigations
View Cardiotocogram

Performed

Baseline FHR: 70 bpm
Multiple decelerations
Multiple, sustained uterine contractions
Ultrasound abdomen

Performed

The ultrasound scan shows a linear serrated sonolucency through the anterior uterine wall. The placenta is fundal, and the fetus is in the cephalic presentation.
Full Blood Count

Performed

WBC/DC: 10,000/mm3
Hb: 8.7 g/dL
Platelets: 300,000/mm3
Group & Crossmatch

Performed

Blood group: A +ve (positive)
2 pints of blood crossmatched

Select Relevant Management
Emergency LSCS
IV fluids
Emergency forceps delivery
Oxytocin infusion stat