24 Hours Of Clear in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#19392

SMLE Question #19392

Obstetrics & Gynecology General Gynecology

Objective: OBJ-CHORIO-ABX-DELIVERY

Last updated: April 2026
A 29-year-old G2P1 woman at 37 weeks’ gestation presents with 24 hours of clear fluid leakage. She has a history of one prior low-transverse cesarean delivery. She reports worsening lower abdominal/pelvic pain and foul-smelling vaginal discharge. Examination shows uterine tenderness, and speculum exam shows pooling of malodorous amniotic fluid. What is the most appropriate management?

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