A Reassure her that she is not in labour.

[Feedback :- This woman has premature rupture of membranes and possibly early preterm labour. She is not actively contracting and her cervix is still closed, but she may progress quickly to established labour.]

B Await delivery and then arrange retrieval of the baby.

[Feedback :- Only if it is not safe to transfer in utero should delivery and retrieval of the baby be arranged at the peripheral hospital.]

C Transfer the baby in utero to a facility with neonatal intensive care.

[Feedback :- If it is safe to transfer, then this should be done in utero, but steroids and antibiotics should be administered first.]

D Administer IM steroids and IV antibiotics to the mother.

This is the Correct Answer

[Feedback :- The most important step in management is to give IM steroids to accelerate lung maturation and IV antibiotics because of the risk of ascending infection. Transfer should then be arranged.]

E Commence tocolytic medications.

[Feedback :- Tocolytic medication may be very useful to delay labour while transport arrangements are being made, but steroids and antibiotics should be administered first.]