Question
Following is given to a patient with preterm labor except –
| A. |
Glucocorticoids
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| B. |
Tocolytic drugs
|
| C. |
Antibiotics
|
| D. |
Beta-blocker
|
Show Answer
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Correct Answer � D
Explanation
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|
Ans.D. Beta-blocker
- The most important risk of PTL is, that the lungs of the fetus are not mature and hence it can lead to respiratory distress syndrome.
- The drug to enhance fetal lung maturity is corticosteroids.
- Since the best effect of corticosteroid occurs after 24- 48 hours of administration at least for this time uterine activity should be stopped.
- Hence, short term tocolytic therapy should be given.
- Tocolytic drugs Note: betamimetic and not beta-blocker is a tocolytic.
- Benzylpenicillin or ampicillin should be given in established preterm labor as prophylaxis against early-onset neonatal sepsis due to Group B Streptococcus in those with known carrier status.
- In cases of penicillin allergy, clindamycin can be substituted.
- Ideally, it should be administered 4 hours before delivery.
