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11655 Gynaecology & Obstetrics

A 20 year old primigravida is admitted with-term pregnancy and labour pains. At 4.00 AM she goes into active labor. Membrance rupture during p/v exmination showing clear liquor. A repeat p/v examination after 4 hours of good uretine contractions reveals cervical dilataion of 5 cm. What should be the next step in management :

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