Painful Contractions Every 3–4 in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#17896
SMLE Question #17896
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 26-year-old primigravida at 40+2 weeks presents in spontaneous labor with painful contractions every 3–4 minutes. Continuous cardiotocography is reassuring. Vaginal examination shows 4 cm cervical dilatation, 80% effacement, cephalic presentation, and −1 station. Two hours later, she is 5 cm dilated; membranes remain intact with no meconium, and there are no maternal or fetal concerns. What is the most appropriate next step in management?
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