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Prolonged pregnancy — DRCOG MCQ

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HardIntrapartum CareProlonged pregnancyDRCOG

A woman with an uncomplicated pregnancy is 41+1 weeks and wishes to wait for spontaneous labour. What counselling should be offered?

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Correct answer: A — Discuss induction now and risks of pregnancy continuation

The best answer is “Discuss induction now and risks of pregnancy continuation”. NICE advises explaining that some risks, including caesarean birth, neonatal admission, stillbirth and neonatal death, increase as pregnancy continues beyond 41 weeks and that induction from 41+0 weeks may reduce them. Her informed decision to proceed, delay or decline must be respected and documented.

Reference: NICE NG207: Inducing labour: https://www.nice.org.uk/guidance/ng207/chapter/recommendations