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Gynaecology & Obstetrics General 03675637

Kamla Rani, a 20 yrs old female having mitral stenosis class II and Rheumatic hea disease becomes pregnant. Which is not indicated in her management during labor:

A
Give Prophylactic antibiotics
B
Apply Outlet forceps in 2nd stage of labor
C
Give iv furosemide at delivery of placenta
D
Give Methergin at delivery of anterior shoulder
High-Yield Explanation
Use of ergometrine/methergin, with or following delivery, is contraindicated in patients with cardiac disease. Ref: Dewhurst's Textbook of Obstetrics and Gynaecology, 5th edition, Page 224 ; Textbook of Obstetrics By Dutta, 4th Edition, Page 541 and 6th Edition, Page 280

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