A 27-year-old primigravida at 28 weeks presents with regular uterine contractions and a cervical dilatation of 3 cm. There is no rupture of membranes ...

Question

A 27-year-old primigravida at 28 weeks presents with regular uterine contractions and a cervical dilatation of 3 cm. There is no rupture of membranes and no contraindication to continuing pregnancy. According to NICE guidance on preterm labour, what is the most appropriate immediate management?

Accepted Answer

Administer tocolytics and antenatal corticosteroids, and arrange transfer to a unit with appropriate neonatal facilities if needed

Answer

Discharge home with reassurance

Answer

Perform immediate caesarean section

Answer

Start induction of labour with oxytocin

Answer

Give antibiotics only

uk-plab-1 MCQ (SBA): Threatened preterm labour – tocolysis and steroids

A 27-year-old primigravida at 28 weeks presents with regular uterine contractions and a cervical dilatation of 3 cm. There is no rupture of membranes and no contraindication to continuing pregnancy. According to NICE guidance on preterm labour, what is the most appropriate immediate management?