Medical MCQ-G3 with previous second trimester abortion presents with 22 week of gestation, abdominal pain, USG shows funneling of internal os. What is the ideal management?

G3 with previous second trimester abortion presents with 22 week of gestation, abdominal pain, USG shows funneling of internal os. What is the ideal management?

Dinoprost and bed rest

Misoprost and bed rest

Fothergills stitch

Mc Donald stitch

Question Category:

Gynaecology & Obstetrics

Correct Answer:

Mc Donald stitch

Description:

Patient presenting at 22 weeks with:Funnelling of cervix 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.

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