Contractions Every 5–6 Minutes in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#12023
SMLE Question #12023
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 29-year-old primigravida at 38+1 weeks presents with contractions every 5–6 minutes for 3 hours. Bedside ultrasound confirms frank breech with the sacrum at the pelvic inlet. Cervical exam shows 4 cm dilatation and 80% effacement with intact membranes. After 2 hours of adequate uterine activity, repeat exam shows no change in cervical dilatation or station. Cardiotocography is reactive. She has no prior uterine surgery; estimated fetal weight is 3.1 kg. What is the most appropriate next step in management?
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