Table 1.
Maternal position | Left lateral position, Right lateral, or knee elbow position (in case of cord compression) |
Tocolysis | Turn off syntocinon drip |
Terbutaline 250 micrograms S/C or I.V, or GNT spray sublingually — two puffs, can be repeated thrice | |
Oxygen administration | 10 to 15 litres / minute by tightly fitting and non-rebreathing Hudson’s face mask |
Rapid intravenous fluids | One litre of crystalloid, Hartmen’s solution or normal saline rapidly |
Vasopressors | Ephedrine, consider during maternal hypotension |
Amino-infusion | Infuse 250 to 500 ml of normal saline, monitoring FHR and measuring uterine baseline tone. (oligohydramnios, vaginal leak) |