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Delay in first stage — DRCOG MCQ

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HardLabourDelay in first stageDRCOG

A primigravida in established labour has been 5 cm dilated for 4 hours despite regular contractions. Membranes are intact and CTG is normal. What is the most appropriate management?

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Correct answer: D — Assess labour progress and consider amniotomy

Slow progress in established labour needs clinical reassessment. With normal maternal and fetal observations, obstetric review and consideration of amniotomy are appropriate rather than discharge, inaction or immediate operative intervention.

Reference: NICE NG235: Intrapartum care: https://www.nice.org.uk/guidance/ng235/chapter/recommendations