24 yr old well build Female
Housewife residing in the interiors, married to a worker since the past 8 years
Gestation period 29 weeks
All previous pregnancies were never bought to the hospital or phc.
The third child was viable n delivered without any medical intervention and the child is now 4 years old and healthy.
Out of the 4 pregnancies 1 died before full term and 2 died in the last trimester due to reasons not known.
Pt. came in for a check up for the first time in her life and was detected with severe hypertension (156/88)
and was admitted for the same.
Pt. does not complain of any symptoms.
Dietary intake normal
Bowl and bladder movements normal
h/o of tobacco consumption
No family history
No previous surgeries
No contraceptives taken
Pallor seen in the tongue
No neck swellings
Pelvic examination is normal and child position could not be determined on examination.
What should be the treatment of procedure and precautions to he taken?