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Meconium-stained liquor — DRCOG MCQ

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HardLabourMeconium-stained liquorDRCOG

Fresh meconium-stained liquor is seen after membrane rupture during established labour at 40 weeks. Maternal observations are normal. What fetal monitoring should be advised?

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Correct answer: A — Continuous cardiotocography with ongoing clinical risk assessment

The best answer is “Continuous cardiotocography with ongoing clinical risk assessment”. Meconium is an intrapartum risk factor that should prompt a full risk assessment and discussion of continuous CTG monitoring. The trace must be interpreted with the whole clinical picture, including meconium character, labour progress and any emerging maternal or fetal concerns.

Reference: NICE NG229: Fetal monitoring in labour: https://www.nice.org.uk/guidance/ng229/chapter/recommendations