No Decelerations in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#1593
SMLE Question #1593
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 27-year-old primigravida at 40 weeks is in active labour. She has epidural analgesia and an oxytocin infusion for augmentation. Contractions were every 3 minutes, then stopped for 10 minutes. Cardiotocography shows normal baseline and variability with no decelerations. There is no vaginal bleeding, abdominal pain, or fluid loss; membranes are intact. Cervix is 6 cm, vertex, and there is no loss of station. What is the most appropriate next step in management?
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