A 35-year-old woman, gravida 3 para 2, presents to the GP at 32 weeks of gestation with painful regular contractions occurring every 5 minutes. She ha...

Question

A 35-year-old woman, gravida 3 para 2, presents to the GP at 32 weeks of gestation with painful regular contractions occurring every 5 minutes. She has no vaginal bleeding. On examination, the cervix is not assessed in the GP surgery. Her previous deliveries were at 38 and 39 weeks. Which is the single most appropriate action?

Accepted Answer

Call an emergency ambulance for transfer to the maternity unit

Answer

Prescribe oral nifedipine to stop contractions and review in 24 hours

Answer

Reassure that Braxton Hicks contractions are normal at this stage

Answer

Prescribe codeine for pain relief and advise bed rest

Answer

Arrange a routine outpatient obstetric review within 48 hours

uk-drcog MCQ (SBA): Preterm Labour