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424 Gynaecology & Obstetrics

A 20 year old primigravida is admitted with full term pregnancy and labour pain. At 4 am she goes into active phase of labour with 4 cm cervical dilatation. Membranes rupture during p/V examinatin showing clear liquor. A repeat PN examination after 4 hours of good uterine contraction reveals a cervical dilatation of 5 cm. What should be the next step in management :

AReassess after 4 hours
BImmediate cesarean section
COxytocin drip
DReassess for occipito posterior position and cephalopelvic dispropoion
Gynaecology & Obstetrics
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