Minimal Variability Despite Intrauterine in النساء والولادة — Case | General Gynecology | SMLE Q#19387

SMLE Question #19387

النساء والولادة General Gynecology

Objective: OBJ-OBG-001

Last updated: April 2026
A 28-year-old primigravida at 33 weeks’ gestation is in active labor. Continuous cardiotocography shows recurrent late decelerations with minimal variability despite intrauterine resuscitation. The cervix is fully dilated, membranes are ruptured, and the fetal head is occiput anterior at +2 station. What is the most appropriate next step in management?

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