SAQ 2000 – Preterm birth in an ED without obstetric services

A 34-year-old primigravida at 34 weeks gestation presents to your ED with regular painful contractions every 3 minutes for the last hour.

She reports ruptured membranes 30 minutes ago and feels the need to push. Your hospital has no obstetric or neonatal service, and the nearest tertiary centre is 220 km away.

A male infant is born shortly after arrival by uncomplicated delivery. At 1 minute his APGAR score is 6: peripheral cyanosis only, pulse above 100, grimace and weak cry with stimulation, some flexion, and slow irregular breathing.

Complete the table with three medications and three pieces of equipment you would prepare to manage this patient in your ED.

(Marked out of 6.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Medications</th> <th>Equipment</th> </tr> </thead> <tbody> <tr> <td></td> <td></td> </tr> <tr> <td></td> <td></td> </tr> <tr> <td></td> <td></td> </tr> </tbody> </table> <p>

/ 6

List six measures required in the immediate post-delivery period for this neonate.

(Marked out of 6.0)

/ 6

Total Score: 0 / 12

Percentage: 0%