3 Days Of Intermittent in Obstetrics & Gynecology — 30yo Woman | General Gynecology | SMLE Q#11595
SMLE Question #11595
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 30-year-old woman, gravida 2 para 1, at 30 weeks of gestation presents with 3 days of intermittent crampy lower abdominal pain and pelvic pressure. She reports uterine tightening every 10–15 minutes and increased watery vaginal discharge. Speculum examination shows no vaginal bleeding and no obvious pooling of fluid. Digital cervical examination reveals 3 cm dilation and 70% effacement. What is the most likely diagnosis?
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