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Gynaecology & Obstetrics General 7ef7ac63

What is the treatment of choice in pregnant women with polyhydramnios and marked respiratory distress at 35 weeks of gestation?

A
Intravenous frusemide
B
Induction of labour
C
Amniocentesis
D
Aificial rupture of membranes
High-Yield Explanation
In this clinical scenario amniocentesis is done to relieve the distress and to continue the pregnancy upto term. Slow decompression is done at a rate of about 500ml per hour. Normally 1-1.5litres of amniotic fluid is removed. Because of slow decompression there is less chance of accidental hemorrhage, but fluid can reaccumulate soon. So amniocentesis has to be repeated. Ref: Textbook of Obstetrics By D.C.Dutta, 6th Edition, Pages 215-7

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