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Latent first stage — DRCOG MCQ

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EasyLabourLatent first stageDRCOG

A 26-year-old primigravida at 39+4 weeks has contractions every 10 minutes, lasting 30 seconds. Her membranes are intact, fetal movements are normal and she has no bleeding. She is coping well at home. What would you advise?

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Correct answer: D — Remain at home with safety-netting and support

This pattern is consistent with latent labour, so supportive advice, hydration, analgesia and clear safety-netting are appropriate. Immediate caesarean section or oxytocin would be inappropriate without an obstetric indication. Continuous CTG is a hospital monitoring tool and is not used at home. She should attend urgently if movements reduce, bleeding occurs, membranes rupture with concerns, or pain becomes unmanageable.

Reference: NICE NG235