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Preterm labour — MCCQE Part 1 MCQ

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ModeratePregnancy ComplicationsPreterm labourMCCQE Part 1

A 32-year-old G2P1 at 26 weeks has regular contractions q5min, cervix 2cm dilated, membranes intact. Afebrile, no bleeding. Most important initial intervention?

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Correct answer: EBetamethasone for fetal lung maturity

Preterm labour at 26 weeks: antenatal corticosteroids most important (reduces RDS, IVH, neonatal death). SOGC: betamethasone for women at risk of delivery 24-34 weeks. Tocolysis buys 48h for steroids.

Reference: SOGC Preterm Labour