G3 with previous second trimester abortion presents at 22 week of gestation with abdominal pain, USG shows tunneling of internal os and cervical length 21 mm. What is the ideal management?
Ans. is d, i.e. McDonald stitichRef. JB Sharma p 121Patient presenting at 22 weeks with:Length of cervix 21 mm on ultrasound examination and history of second trimester abortions indicating cervical incompetence as the cause of preterm labor. In this case Mc Donald stitch will be the ideal treatment as it will prevent preterm labor.
Normal Labour
Dinoprost and bed rest
Misoprost and bed rest
Fothergills stitch
McDonald stitch
McDonald stitch