Slip

A 32 year old lady in her fourth pregnancy presents at 37 weeks of gestation following spontaneous rupture of membranes. Her pregnancy was uncomplicated.

Her only comorbidity is mild intermittent bronchial asthma, with no recent exacerbations.

Select Relevant Investigations
Fetal doppler auscultation

Performed

Fetal heart sounds are noted.
Group & cross-match blood

Performed

Her blood group is A +ve (positive).

1 pint of blood is cross matched.
Transvaginal Ultrasound Scan

Performed

You realize that a transvaginal ultrasound scan might irritate the cord and cause vasospasm.
Cardiotocography

Performed

You realize that cardiotocography may result in unnecessary delay.

Select Relevant Management
Knee-chest position
Warm saline vaginal pack
Bladder : saline infusion
Vacuum Extraction