5th May 2024

A 32-year-old woman, at 32 weeks’ gestation with twins, presents with regular uterine contractions and a cervical dilation of 2 cm.

A 32-year-old woman, at 32 weeks’ gestation with twins, presents with regular uterine contractions and a cervical dilation of 2 cm. Her pregnancy has been uncomplicated until now. She has no signs of infection, and foetal heart rates are reassuring. The patient wishes to delay delivery if safely possible to allow further foetal development.

What is the most appropriate initial management for this patient?