Frequent Contractions in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#11882
SMLE Question #11882
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 28-year-old G2P1 at 38 weeks has sudden severe vaginal bleeding and constant abdominal pain for 30 minutes. She is pale and anxious. Abdominal exam shows a firm, tender uterus with frequent contractions. Cardiotocography shows a reassuring fetal heart rate pattern. Speculum exam shows active bleeding; the cervix is 4 cm dilated and 80% effaced, and the fetal head is at −1 station. Placental abruption is suspected. After starting large-bore IV access, rapid fluid resuscitation, and preparing blood products, what is the most appropriate next step in management to deliver her?
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