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Meconium-stained liquor — DRCOG MCQ

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ModerateLabourMeconium-stained liquorDRCOG

A 32-year-old woman in labour at 41 weeks has spontaneous rupture of membranes with significant meconium-stained liquor. Maternal observations are normal and the fetal heart is currently 145 bpm. What is the most appropriate management?

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Correct answer: B — Start continuous electronic fetal monitoring

Significant meconium-stained liquor is an intrapartum risk factor and should prompt continuous electronic fetal monitoring. Intermittent auscultation may be suitable for low-risk labour but is suboptimal after significant meconium. Discharge home or delayed review would miss evolving fetal compromise. Antibiotics alone do not address the fetal monitoring issue.

Reference: NICE NG235