A primigravida presents to casualty at 32 weeks gestation with acute pain abdomen for 2 hours, vaginal bleeding and decreased fetal movements. She should be managed by;
A. Immediate cesarean section
B. Immediate induction of labor
C. Tocolytic therapy
D. Magnesium sulphate therapy
Correct answer : A. Immediate cesarean section
Vaginal bleeding at 32 weeks with acute abdominal pain and decreased fetal movements suggests the diagnosis of abruption. Cesarean section should be done immediately to prevent fetal death and development of maternal complications.