USMLE Forum Archives - USMLE Step 3 - Obstetrics- Twins
Obstetrics- Twins
harry206 - 05-12-09 08:52
A 28-year-old gravida 1, para 0 African-American woman at 37 weeks of gestation presented to the labor and delivery unit complaining of uterine contractions spaced eight minutes apart. Her prenatal care was regular and unremarkable. Ultrasonogram at 16 weeks revealed twin gestations. An epidural anesthetic is administered in preparation for attempted vaginal delivery of both twins. Twelve hours after admission, the woman delivers a girl weighing 2480 grams (5 lbs, 7 oz). The second twin is in cephalic position and at +1 station with reassuring fetal heart tones and an intact amniotic sac. Labor does not resume. What is the next best step in managing this situation?
harry206 - 05-12-09 08:52
A 28-year-old gravida 1, para 0 African-American woman at 37 weeks of gestation presented to the labor and delivery unit complaining of uterine contractions spaced eight minutes apart. Her prenatal care was regular and unremarkable. Ultrasonogram at 16 weeks revealed twin gestations. An epidural anesthetic is administered in preparation for attempted vaginal delivery of both twins. Twelve hours after admission, the woman delivers a girl weighing 2480 grams (5 lbs, 7 oz). The second twin is in cephalic position and at +1 station with reassuring fetal heart tones and an intact amniotic sac. Labor does not resume. What is the next best step in managing this situation?
The correct answer and explanation will be available after you answer.
Page 1
#1
Re: Obstetrics- Twins usmlefever3 - 05-12-09 09:10 My answer is: c.
induction of labor may be done
#23
Re: Obstetrics- Twins babbu5508 - 08-30-10 01:17 My answer is: c.
Intravenous oxytocin...as a drip for incution of labor..in order to enhance the delvery of the second twn...wait as the fhr is reassuring....
Page 1