Question

DCDA twins, 38 wks, first twin breech mother has BP 140/96, 1+ proteinuria what's the management ?

• A. Immediate LSCS
• B. Induction at 40 weeks
• C. Immediate induction and delivery
• D. Induction if signs of preeclampsia

Answer 1

The Correct Option is A

In the given case scenario, we have a mother pregnant with DCDA (dichorionic diamniotic) twins at 38 weeks of gestation. The first twin is in a breech position. The mother has a blood pressure reading of 140/96 mmHg and displays 1+ proteinuria, indicating the potential onset of preeclampsia.

Preeclampsia is a hypertensive disorder that can occur in pregnancy and is characterized by high blood pressure and proteinuria. It is a serious condition that requires immediate attention to prevent complications for both the mother and the babies.

Given these circumstances, the management should prioritize the immediate and safest delivery method to mitigate the risks associated with preeclampsia and the breech presentation of the first twin.

The options to consider are:

• Immediate LSCS (Lower Segment Caesarean Section)
• Induction at 40 weeks
• Immediate induction and delivery
• Induction if signs of preeclampsia

Considering the gestational age of 38 weeks and the complications involving hypertension, proteinuria, and breech presentation, the most appropriate and safe management is an Immediate LSCS. This approach ensures the prompt delivery of the twins, minimizing the risk of further complications from preeclampsia and addressing the problematic breech position of the first twin.

Thus, the correct answer is Immediate LSCS.