24 Weeks in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#11457

SMLE Question #11457

Obstetrics & Gynecology General Gynecology

Objective: OBJ-ETH-STERIL

Last updated: February 2026
A 28-year-old G2P1 woman at 26 weeks’ gestation attends a routine antenatal visit. Ultrasound confirms intrauterine fetal demise; fetal biometry is consistent with 24 weeks. She has no contractions, vaginal bleeding, or fever. There is no uterine tenderness, and the membranes are intact. Pelvic examination shows a closed, uneffaced cervix. Her previous delivery was vaginal. What is the most appropriate method to induce delivery?

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