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Gynaecology & Obstetrics AIIMS 2018 57320c34

Placenta grade 3, 35+3 weeks pregnancy, and absent end diastolic flow Doppler; next ,management is:-

A
Dexamethasone and terminate after 48 hours
B
Terminate after 37 weeks
C
Talk with pediatrician and termination
D
Monitor
High-Yield Explanation
* Absent end diastolic flow : fetal compromise ( hence terminate pregnancy by caesarean section if > 34 weeks)* Reverse end diastolic flow : impending doom of death ( terminate pregnancy irrespective of gestational age)* Steroids are given if pregnancy < 34 weeks

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