WATER BREAKS EARLY- Best Treatment-Dr.Nandyala R Padmapriya at Cloudnine Hospitals |Doctors' Circle

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Cloudnine Hospitals, Hitech City, Hyderabad
When water breaks patient comes to the hospital the doctor takes a history examines the patient and first see whether there is an immediate need for delivery that is in cases of a prolapse in such cases patients will be immediately shifted to the operation theater and a C-section will be performed after checking the baby's heartbeat another cases. We also see the color of the water that if the baby has passed motion if at all baby has passed motion then that patient will be considered as high risk under continuous electronic fetal monitoring. Patient will be induced labor and we can try for a vaginal delivery if the water breakage is before 37 weeks and after 34 weeks such patients are admitted and we give a dose of steroid and keep monitoring the heartbeat and also repeat a second dose after 24 hours after that seeing the status of the condition of the baby we induce the patient for vaginal delivery then if the baby is between 24 to 34 weeks all those babies definitely will survive and we have to admit the patients and we do expectant management that is we admit the patients and try to prolong the pregnancy see as much as possible and stringent monitoring of blood counts and to see for infection we give steroids and also we cover them with antibiotics. So we monitor the heartbeat in case of any issue pregnancy minimum at least 14 days we have the baby weight improves if at all there is any infection or fetal distress then we have to take a decision about the route of delivery based on the condition.




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