Question

A 30-year-old pregnant woman at 30 weeks presents with episodic lower abdominal pain and a sensation of pelvic pressure. Speculum examination confirms cervical dilation of 3 cm with regular contractions. What is the most appropriate management?

Accepted Answer

Offer antenatal corticosteroids for fetal lung maturation and consider tocolysis

Answer

Reassure and discharge; this is normal in late pregnancy

Answer

Induce labour immediately regardless of gestation

Answer

Give NSAIDs for pain relief only

Answer

Plan elective caesarean section at 37 weeks with no other intervention

Practice question

A 30-year-old pregnant woman at 30 weeks presents with episodic lower abdominal pain and a sensation of pelvic pressure. Speculum examination confirms cervical dilation of 3 cm with regular contractions. What is the most appropriate management?