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Uterine tachysystole — DRCOG MCQ

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HardLabourUterine tachysystoleDRCOG

A 35-year-old woman is being induced with oxytocin. She develops six contractions in 10 minutes and the CTG shows recurrent late decelerations. Maternal observations are stable. What is the most appropriate management?

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Correct answer: D — Stop or reduce oxytocin and seek urgent obstetric review

Tachysystole with fetal heart rate abnormalities requires reducing uterine stimulation and urgent review. Increasing oxytocin or adding prostaglandin may worsen fetal hypoxia. Cervical dilatation does not make recurrent late decelerations safe. She needs intrapartum management, not transfer away from labour care.

Reference: NICE NG207; NICE NG235