Painful Contractions Every 4 in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#11282
SMLE Question #11282
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 24-year-old primigravida at 37 weeks presents in labor with painful contractions every 4 minutes for 3 hours. Pregnancy is complicated by monochorionic monoamniotic twins. Ultrasound 2 days ago showed Twin A in frank breech presentation and Twin B in cephalic presentation. Examination shows cervix 4 cm dilated, 80% effaced, with a breech presenting part at −2 station. What is the most appropriate next step in management?
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